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South University, Savannah NSG 6023| APEA 3P WEEK 2 EXAM REVIEW

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Comprehensive Q & A + Rationale| A 12 y.o. male patient presents for evaluation of a painful pimple on his eyelid. On exam, you find a 3mm fluctuant pustule on the margin of his right eyelid with no ... exudate. What is this likely to be? A. Chalazion B. Molluscum contagiosum C. Hordeolum D. Blepharitis Answer and Rationale C. Hordeolum  A Hordeolum is also known as a sty. It is a Painful infection of the meiobian gland (internal) or the glad of Zeis (external), located at the margin of the eyelid. It is usually caused by staphylococcus aureus. It is treated with eye lid hygiene (lid scrubs), warm compresses for 10 minutes TID-QID and erythromycin ointment (may also be added if the infection worsens or if the presenting symptoms are severe- draining or blepharoconjunctivitis). Chalazia can often evolve from internal hordeola.  Systemic antibiotics may be indicated if the hordeola is complicated by preseptal cellulitis- Cephalexin (Kephlex), Amoxicillin/Clavulonate (Augmentin).  Oral doxycycline may also be added if there is a history of multiple or recurrent lesions or if there is significant and chronic meibomitis. [Show More]

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