PANCE Blueprint EENT (7%)

Lacrimal disorders (PEARLS)

NCCPA™ PANCE Eyes, Ears, Nose, and Throat Content Blueprint eye disorders ⇒ lacrimal disorders

Dacryoadenitis Dacryoadenitis

Inflammation of lacrimal (tear-producing) glands usually caused by bacteria or a virus that initiates the inflammation

  • s/sx: unilateral severe pain, swelling, redness, tearing, drainage (supratemporal)
  • Common causes include mumps, Epstein-Barr virus, staphylococcus, and gonococcus

DX: usually clinical; CT orbits if chronic

TX: If the cause of dacryoadenitis is a viral condition such as mumps, simple rest and warm compresses may be all that is needed

  • For other causes, the treatment is specific to the causative disease


Tx: systemic antibiotics: Clindamycin + 3rd gen. cephalosporin

Pterygium (ReelDx + Lecture) (Prev Lesson)
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