Peds Ophtho Case 5: Ophtho Visit

Peds Ophtho Case 5 Index

The ophthalmologist confirms the pediatricians findings. Additionally, a follicular reaction is noted on the palpebral conjunctival of the lower eyelids bilaterally, but no pseudomembrane formation. These findings are concerning for neonatal conjunctivitis. Fluorescein staining is also performed to evaluate for corneal involvement but no staining is noted in either eye.

Based on the history and physical, what is the most likely etiology of the conjunctivitis? 
Chemical conjunctivitis
Herpes simplex
Neisseria gonorrhea
Staphlococcus aureus
Chlamydia trachomatis
Pseudomonas aeruginosa
Strephtococcus pneumoniae 
Adenovirus

 

What additional tests would you like to order? Select all that apply.
Blood cultures
Ocular swab for gram stain and culture
HIV testing
Nucleic acid amplification test
MRI of orbits
Lumbar puncture 
Throat swab for gram stain and culture
Urinalysis and culture

 

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Peds Ophtho Case 5 Index
Peds Ophtho Case 5: Introduction
Peds Ophtho Case 5: Additional History & Physical Exam