PANCE Blueprint EENT (7%)

Hordeolum (ReelDx + Lecture)

REEL-DX-ENHANCED-REGISTERED

Patient will present as → a 15-year-old male with pain, redness, and swelling of the upper eyelid for the last 3 days. There are no visual changes or photophobia. Examination reveals a tender, erythematous, and outward-pointing edema of the right eyelid.

To watch this, and all of Joe Gilboy PA-C's fantastic video lessons you must be a member. Members can log in here or join now.

Hordeolum = Stye = Painful and “Hot”- think “H” for Hot = Hordeolum.

  • Patient will present with a painful, warm (hot), swollen red lump on the eyelid (different from a chalazion which is painless)
  • Hordeolum are infections of the glands of the eyelid while a chalazion is a sterile, chronic inflammation that results from a blocked meibomian gland.
Red, Painful and "Hot" = Hordeolum

Red, Painful and "Hot" = Hordeolum

The diagnosis is clinical

Warm compress and topical antibiotics

  • A hordeolum that does not respond to hot compresses can be incised with a sharp, fine-tipped blade.
  • Systemic antibiotics (eg, dicloxacillin or erythromycin 250 mg PO QID) are indicated when cellulitis accompanies a hordeolum.

Question 1
Which of the following is a staphylococcal infection characterized by a localized red swollen and acutely tender abscess of the upper or lower eyelid?
A
Hordeolum
B
Uveitis
Hint:
Uveitis is an intraocular inflammation involving the uveal tract.
C
Chalazion
Hint:
Chalazion is a granulomatous inflammation of the meibomian gland.
D
Dacryocystitis
Hint:
Dacryocystitis is an infection of the lacrimal sac due to obstruction of the nasolacrimal system.
Question 1 Explanation: 
Hordeolum (stye) is a staphylococcal infection characterized by a localized red swollen and acutely tender abscess of the upper or lower eyelid.
There is 1 question to complete.
Return
Shaded items are complete.
1
Return
Entropion (Lecture) (Prev Lesson)
(Next Lesson) Neuro-ophthalmologic disorders (PEARLS)
Back to PANCE Blueprint EENT (7%)

NCCPA™ Content Blueprint

The Daily PANCE and PANRE

Get 60 days of PANCE and PANRE Multiple Choice Board Review Questions delivered daily to your inbox. It's 100% FREE and 100% Awesome!

You have Successfully Subscribed!