NR569 NR 569 Final Exam Review

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NR569 / NR 569 Final Exam Review Differential Diagnosis in Acute Care Practicum Expected Questions and Verified Answers

1. 4 types of conjunctivitis: Allergic

Bacterial Toxic Viral

• Allergic Conjunctivitis: Inflammation of the conjunctiva due to a reaction from allergies.

S/S: itching of the eyes

Characterized: red eyes, accompanied by sneezing

• Bacterial conjunctivitis: pinkeye; very contagious, 2nd most common form. purulent or 1 / 3

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mucopurulent discharge in one or both the eyes.

S/S: red and itchy eyes

• Toxic Conjunctivitis: typically develops following administration of a medication or direct

contact with a corrosive or noxious chemical.

5. Viral conjunctivitis: adenovirus; highly contagious**

swimming pools - epidemic keratoconjunctivitis

*erythema, copious watery discharge tx: eye lavage with normal saline BID x7-14 days/vasoconstrictor-antihistamine drops

• Primary Otalgia: Caused by a problem directly associated to the ear, such as w/ an ear infection,

swimmer's ear, trauma, XS cerumen

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• Referred otalgia: originates in another anatomic structure such as in the mouth, throat, or neck

• Acute Otitis Media (AOM): an infection of the middle ear space. Most common in kids <8

yo

• cause of acute otitis media: Often secondary to viral URI w/eustachian tube dysfunction

Most common bacterial agent: Streptococcus pneumoniae

• symptoms of acute otitis media: unilateral otalgia (ear pain), pulling & tugging at the ears,

irritability, headache, restlessness, poor feeding, anorexia, vomiting, or diarrhea, ears feel full, low grade fever.PE: tympanic membrane inflamed (erythema) and bulging, decreased light reflex, decreased mobility on insufflation.

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