Pterygium: The Daily PANCE Blueprint

Pterygium: The Daily PANCE Blueprint

The best course of action for a patient with a bothersome inflamed pinguecula (pingueculitis) is

A. antibiotic drops
B. excision
C. Visine drops
D. no treatment

Answer and topic summary

The answer is D. no treatment

Pinguecula are hyaline, elastic nodules that appear yellow and affect both sides of the cornea but usually more on the nasal side. Pterygium is a fleshy, triangular growth of a pinguecula that involves the cornea. With pingueculitis, no treatment is necessary; a short course of NSAID drops or steroids may help.

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Pearls

Pterygium is associated with increased sun exposure and climates where there is wind, sand, and dust.

  • Differentiate from pinguecula: yellow, elevated nodule on the nasal side of the eye (fat and protein) does not grow.

Diagnosis

Pterygium is associated with increased sun exposure and climates where there is wind, sand, and dust.

  • Differentiate from pinguecula: yellow, elevated nodule on the nasal side of the eye (fat and protein) does not grow.

Treatment

Management is observation in most cases (artificial tears)

  • Only surgically remove when vision is affected

Smarty PANCE Content Blueprint Review:

Covered under ⇒  PANCE Blueprint EENT (7%)Corneal disorders (PEARLS)Pterygium (ReelDx + Lecture)

 
 
 
 
 
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Today's Blueprint topic is #Pterygium - Make sure to swipe left to answer the #PANCE board review question associated with this topic and see all the lesson slides. ⁣ 💯 Join me as I cover the entire PANCE NCCPA Content Blueprint one topic at a time. Subscribe for the FREE 60-day #pance and #panre board review email series and follow along with my new Trello PANCE Blueprint Board (link in bio). ⁣ ⁣⁣⁣⁣ Looking more information on this topic? Head over to my companion website at https://smartypance.com/lessons/eye-disorders/corneal-disorders-pearls/pterygium-reeldx359/?utm_campaign=meetedgar&utm_medium=social&utm_source=meetedgar.com #pa #paintraining #medicalquestions #physicianassistant #pastudent #physicianassistantstudent #physicianassistantschool #physicianassistantlife #physicianassistantstudies #physicianassociate #nursepractitionerstudent #nursepractitioner #medstudent #palife #pasofinstagram #pasofinsta #npstudent #paschool⁠ #smartypance #thepalife #medschool #medicine

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