USMLE Forum Archives - USMLE Step 2 CK - neonate
neonate
ysemak - 12-15-09 10:07
You see a neonate 3 days after birth. He has red eyes for 1 day, copious purulent discharge bilaterally and significant conjunctival injection. A neonatal nursery exam was N at birth.
What is the most likely D-s?
ysemak - 12-15-09 10:07
You see a neonate 3 days after birth. He has red eyes for 1 day, copious purulent discharge bilaterally and significant conjunctival injection. A neonatal nursery exam was N at birth.
What is the most likely D-s?
The correct answer and explanation will be available after you answer.
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#4
Re: neonate conym5 - 12-24-09 08:02 My answer is: c.
# This type of conjunctivitis is the most serious, usually occurring 24-48 hours following birth. Typically, patients develop a hyperacute conjunctivitis, associated with marked lid edema, chemosis, and purulent discharge.
# A conjunctival membrane may be present.
# Corneal ulcer may occur and rapidly progress to perforation, if treatment is delayed
#26
Re: neonate mtniharika - 04-29-10 08:46 My answer is: c.
Ophthalmia neonatorum due to gonococci (Neisseria gonorrhoeae) typically manifests in the first 5 days of life and is associated with marked bilateral purulent discharge and local inflammation. In contrast, conjunctivitis secondary to infection with chlamydia (Chlamydia trachomatis) produces conjunctivitis after day 3 of life, but may occur up to 2 weeks after delivery.
#27
Re: neonate babbu5508 - 05-23-10 03:01 My answer is: c.
Gonococcal conjunctivitis tends to occur 3-5 days after birth but can present later...there is a classic presentation of purulent conjunctivitis, which usually is bilateral.
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