determine
Forum Guru
Topics: 152
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A full-term infant presents to your office at 7 days of age with bilateral purulent conjunctive discharge, erythema and swelling at the medial aspect of the eyes. Which one of the following is the most likely diagnosis?
1) Neisseria gonorrhoeae infection
2) herpes simplex infection
3) nasolacrimal duct inflammation due to Staphylococcus aureus
4) chemical irritation from eye oinment received at delivery
5) chlamydia infection
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| babli
Forum Guru
Topics: 40
Posts: 425
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3
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| srf
Forum Guru
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5
___________________
life is reality without an eraser
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| marasmus
Forum Junior
Topics: 2
Posts: 42
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5
1st 24hrs-chemical conjunctivitis
2-5 days-N.gonorrhea
5-23-Chlamydia
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| babli
Forum Guru
Topics: 40
Posts: 425
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mcc of neonatal conjunctivitis at or after one week is CHLAMYDIA.
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| determine
Forum Guru
Topics: 152
Posts: 335
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3 or 5? I don't know the answer. I think it is 5 most probably.
Many children are born without a fully developed nasolacrimal duct. This is called congenital nasolacrimal duct obstruction or dacryostenosis(%2-4). Most commonly, an infant is born with a duct that is more narrow than usual and therefore does not drain properly or becomes blocked easily. The majority of children outgrow this condition by the time they are 1 year old.
Children with blocked tear ducts can develop an infection in their lacrimal sac called dacryocystitis. Signs of this infection include redness at the inner corner of the eye and a slight tenderness and swelling or bump at the side of the nose.
- Tearing and mattering: Newborns who have congenital dacryostenosis may not develop acute dacryocystitis with a mucocele or pyocele of the sac in the early neonatal period but may simply have tearing with a chronic mucopurulent discharge, which usually manifests at 2 weeks
http://bmj.bmjjournals.com/cgi/content/full/315/7... look at this website pls. There are really good photos.
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