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Issue: May 15, 2007
Case: Eye Inflammation and Infection
Taken from
Med-Challenger EM Career
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Question:

__ is a chronic granulomatous inflammation of an eyelid meibomian gland, and __ is an acute purulent inflammation of an eyelid meibomian gland.
 
  1. chalazion; hordeolum (sty)
  2. hordeolum; chalazion
  3. meibomian pustule; mucoid cyst
  4. meibomian pustule; chalazion

Answer:
A

Remediation:
A hordeolum is treated with lid scrubs and hot soaks, plus an oral anti-staphylococcal agent for severe cases.

Chalazion may be treated with hot soaks and ophthalmologic referral for excision.



 

About the Image(s):
Image 1:
Chalazion, Internal and External Views
Chalazion, a chronic granulomatous inflammation of the meibomian gland.

Image 2: Hordeolum of the Upper Lid, Close-Up View
Note the inflammation and pointing that is typical of hordeolum.


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