Chamberlain ACAGNP NR569 Diff Dx. Final

Chamberlain ACAGNP NR569 Diff Dx. Final

1.4 types of con- junctivitis Allergic Bacterial Toxic Viral 2.Allergic Conjunc- tivitis In$ammation of the conjunctiva due to a reaction from allergies.

S/S: itching of the eyes

Characterized: red eyes, accompanied by sneezing

3.Bacterial con- junctivitis pinkeye; very contagious, 2nd most common form. purulent or mucopurulent discharge in one or both the eyes.

S/S: red and itchy eyes

4.Toxic Conjunctivi- tis typically develops following administration of a medication or direct contact with a corrosive or noxious chemical.

5.Viral conjunctivi- tis adenovirus; highly contagious** swimming pools - epidemic keratoconjunctivitis *erythema, copious watery discharge

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Study onulieaSahpsep:/qze.lce.m_e3liun

Study onulieaSahpsep:/qze.lce.m_e3liunStudy online at https://quizlet.com/_c3218utx: eye lavage with normal saline BID x7-14 days/vasoconstrictor-antihistamine drops6.Primary OtalgiaCaused by a problem directly associated to the ear, such as w/ an ear infection, swimmer's ear, trauma, XS cerumen7.Referred otalgiaoriginates in another anatomic structure such as in the mouth, throat, or neck8.Acute Otitis Me-dia (AOM)an infection of the middle ear space. Most common in kids <8>

Study onulieaSahpsep:/qze.lce.m_e3liunStudy online at https://quizlet.com/_c3218uManagement of acute otitis media-the goal of treatment is to control pain and to treat the infectious process with antibiotics-Adults with AOM should be treated with antibiotics: Drst line agent is amoxi-cillin/clavulanate-Recurrent cases that do not resolve despite treatment may need referral to oto-laryngologist13.-or1enli e1o u1xment for acute otitis mediaamoxicillin 875 mg with clavulanate 125 mg orally twice daily.mild to moderate: Dve to seven dayssevere: 10 days14.otitis media with cIrlgipresence of $uid in the middle ear without symptoms of acute infection.As $uid builds up in the middle ear and Eustachian tube, it places pressure on the tympanic membrane15.precipitating fac-tors of otitis me-blue50e cIrlgiURI16.Symptoms of oti-1lred blue50e cIxsionhearing loss, ear fullness, complain of communication diEculties, withdrawal, and lack of attention, intermittent otalgia, popping sensation of the ear17.-Otitis media with eFusion generally resolves spontaneously with watchful wait-ing.3 / 20

Study onulieaSahpsep:/qze.lce.m_e3liunStudy online at https://quizlet.com/_c3218uManagement of otitis media w/ ef-fusion-However, if it is persistent, myringotomy with tympanostomy tube insertion is considered an eFective treatment.18.Acute Otitis Ex-terna (AOE)is an in$ammation, that can be either infectious or non-infectious, of the external auditory canal. "Swimmers ear"19.symptoms of Acute Otitis Ex-terna (AOE)complain of pruritus and ear pain that is usually worse with manipulation of the tragus, pinna, or both. It can also present with otorrhea, fullness sensation, and hearing loss.20.Severity scale: Acute Otitis Ex-terna (AOE)-Mild: pruritus, mild discomfort, and ear canal edema-Moderate: ear canal is partially occluded-Severe: The external ear canal is completely occluded from edema. There is usually intense pain, lymphadenopathy, and fever.21.Physical exam of Acute Otitis Ex-terna (AOE)Otoscopy will reveal an erythematous and edematous ear canal with associated debris (yellow, white, or gray).22.Treatment of Acute Otitis Ex-terna (AOE)Topical antibiotics are the treatment of choice for AOE, with or without steroidsTopical antibiotics are the preferred therapy because a higher concentration of the antimicrobial can be delivered to the infected tissue than systemic antibioticsAn ear wick may be inserted in the ear to facilitate installation of antibiotic drops in a tight canalSystemic antibiotics are not indicated unless the patient also has a co-existing AOM infection4 / 20