haduytu7
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During the examination on the 6-month old girl for well-child care, the physician notices excessive tears in the baby's right eye. Her mother says that it started in the past month. Each morning, a yellow crusty discharge is noted along the lashes of the right eye. Her right conjunctiva appears normal, and the remains of the physical examination are unremarkable. Which of the following is the most appropriate management?
a) No treatment.
b) No treatment, but the baby should be reassessed in a few months.
c) No treatment, but advise her mother to massage the inner canthus of her eye twice daily.
d) Treatment with vitamin A supplement.
e) Treatment with antibiotic eye-drop.
f) Treatment with corticoid eye-drop.
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| robin082006
Forum Hero
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C
Sounds like obstruction of the right tear duct.
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| yu
Forum Junior
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e, lacrymal sac infection.
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| haduytu7
Forum Newbie
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The correct answer is C. Blocked tear ducts, or dacryostenosis, is a very common condition of newborn. Massage the inner canthus of the eye twice daily to encourage resolution of the obstruction. Resolution occurs by 1 year of age in 90% of infants.
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| yu
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Oops!
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| chemamr
Moderator and PGY2
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 C
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