Chamberlain ACAGNP NR569 Diff Dx. Final questions and answers.
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Chamberlain ACAGNP NR569
Institution
Chamberlain ACAGNP NR569
4 types of conjunctivitis
Allergic
Bacterial
Toxic
Viral
Allergic Conjunctivitis
Inflammation of the conjunctiva due to a reaction from allergies.
S/S: itching of the eyes
Characterized: red eyes, accompanied by sneezing
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Chamberlain ACAGNP
NR569 Diff Dx. Final
questions and
answers.
4 types of conjunctivitis - answer Allergic
Bacterial
Toxic
Viral
Allergic Conjunctivitis - answer Inflammation of the
conjunctiva due to a reaction from allergies.
S/S: itching of the eyes
Characterized: red eyes, accompanied by sneezing
Bacterial conjunctivitis - answer pinkeye; very
contagious, 2nd most common form. purulent or
mucopurulent discharge in one or both the eyes.
S/S: red and itchy eyes
,Toxic Conjunctivitis - answer typically develops
following administration of a medication or direct
contact with a corrosive or noxious chemical.
*erythema, copious watery discharge
tx: eye lavage with normal saline BID x7-14
days/vasoconstrictor-antihistamine drops
Primary Otalgia - answer Caused by a problem
directly associated to the ear, such as w/ an ear
infection, swimmer's ear, trauma, XS cerumen
Referred otalgia - answer originates in another
anatomic structure such as in the mouth, throat, or
neck
Acute Otitis Media (AOM) - answer an infection of
the middle ear space. Most common in kids <8 yo
, cause of acute otitis media - answer Often
secondary to viral URI w/eustachian tube
dysfunction
Most common bacterial agent: Streptococcus
pneumoniae
symptoms of acute otitis media - answer unilateral
otalgia (ear pain), pulling & tugging at the ears,
irritability, headache, restlessness, poor feeding,
anorexia, vomiting, or diarrhea, ears feel full, low
grade fever.
PE: tympanic membrane inflamed (erythema) and
bulging, decreased light reflex, decreased mobility
on insufflation.
How is acute otitis media diagnosed? - answer
clinical presentation
objective findings on physical exam (otoscopy)
combined with the patient's history and presenting
signs and symptoms
Management of acute otitis media - answer -the
goal of treatment is to control pain and to treat the
infectious process with antibiotics
-Adults with AOM should be treated with
antibiotics: first line agent is
amoxicillin/clavulanate
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