Conjunctivitis or tonsillitis

This week you will create a 12?15-slide PowerPoint.For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. List any diagnostic studies or laboratory test(s) you need to rule in or rule out a diagnosis. The entry should be posted as an attachment. Please pick one of the following topics for your post: Allergic rhinitis, conjunctivitis, blepharitis, sinusitis, hordeolum, chalazion, otitis media, otitis externa, pharyngitis, tonsillitis, glossitis, TMJ. Please respond to two your classmates? postings.PLEASE REVIEW POWER POINT ATTACHED SO YOU HAVE AN IDEA OF WHAT IS NEEDED OR CHOSE ONE OF THEM BUT CHANGE ALL THE WORDING AND DESIGN.
acute_conjunctivitis_db1.pptx

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January 5, 2018
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Description of Disease and Incidence and Prevalence
Pathophysiology
Physical assessment and Examination
Evidenced-Based Treatment Plan
Patient Education
Follow-up and Evaluation
References
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Inflammation of infection of the conjunctiva
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Characterized by dilation of the conjunctival vessels resulting in
hyperemia and edema of the conjunctiva
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Conjunctiva ? thin membrane lining the anterior part of the sclera and
inside of eye lids
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Affects more than 6 million people annually in the US
Viral most common cause and prevalent in summer
Bacterial 2nd most common cause but responsible for majority of
conjunctivitis in children and occurs more December ? April
Allergic conjunctivitis more prevalent in spring and summer
More common in kids than adults
1% of all primary care visits in the US are related to conjunctivitis
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Inflammation or infection of the conjunctiva.
Dilation of the conjunctival vessels resulting in hyperemia and edema
of the conjunctiva
Viral Conjunctivitis
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Caused by infection of the eye with a virus
Can be caused by a number of different viruses
Contagious
Bacterial Conjunctivitis
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Caused by infection of the eye with a bacteria
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Bacterial Conjunctivitis (continued)
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Can be caused by Staphylococcus aureus, streptococcus pneumonia, influenza,
or less commonly chlamydia trachomatis and Neisseria gonorrhoeae
Contagious
Allergic Conjunctivitis
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Body?s reaction to allergens
Not contagious
Can result from exposure to certain drugs/cosmetics
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Subjective Assessment
Itching, irritation, or burning
? Discharge (pus or mucus)
? Crusting of eyelids or eyelashes in the morning
? Contact lenses that feel uncomfortable
? Pink or red eye
? Swelling of the conjunctiva
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Objective Assessment/Exam
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Purulent discharge
Watery discharge
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Objective Assessment/Exam (continued)
Visual Acuity
? Pupil size and reaction to light (should be normal)
? Diffuse conjunctival redness
? Eyelid edema
? No corneal involvement
? Chemosis (in allergic)
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Bacterial Conjunctivitis
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Ophthalmic Antibiotic
? Gentamicin 0.3% (Gentak) ? Ointment 0.5 inch ribbon applied QID x 7 days
(There are other antibiotics available and should be chosen on cost and local bacterial
resistance patterns)
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Viral Conjunctivitis
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Observe, symptoms control
Cold compresses
Ocular decongestants
Artificial tears
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Allergic Conjunctivitis
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Avoid allergen
Take OTC anti-histamine, ex. Benadryl
Histamine H1 Receptor Antagonist
? Azelastine 0.05% (Optivar)
? Emedastine 0.05% (Emadine)
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Strict Handwashing
Do not share personal items such as utensils, towels
Avoid touching your face/eyes with your hands
Healthcare workers should not work until discharge has subsided
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Pt should follow up in one week for a re-check
If symptoms persist after one week, referral to ophthalmology may be
necessary
If the following symptoms are present on initial visit or at follow-up,
immediate ophthalmology referral as necessary
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Topical anesthetics are not helping
Vision loss
Copious purulent d/c
Corneal involvement
Traumatic eye injury
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Referral to Ophthalmologist
Recent ocular surgery
? Distorted pupils
? Herpes
? Recurrent infections
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Azari, A. & Barney, N. (2013). Conjunctivitis. Journal of the American
Medical Association, 310 (16), 1721-1729. doi:
10.1001/jama.2013.280318
Conjunctivitis (Pinky Eye) For Clinicians retrieved January 4, 2018 from
https://www.cdc.gov/conjunctivitis/clinical.html
Cronau, H., Rankanala, R., & Mauger, T. (2012). Diagnosis and
treatment of red eye in primary care. American Family Physician, 81
(2), 137-144.

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