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Questions and Answers
What is the most likely diagnosis for the five-day-old neonate presented with eye redness and discharge?
What is the most likely diagnosis for the five-day-old neonate presented with eye redness and discharge?
- Conjunctivitis (correct)
- Retinopathy
- Myopia
- Glaucoma
Which medication was prescribed by the midwife for the neonate with ophthalmia neonatorum?
Which medication was prescribed by the midwife for the neonate with ophthalmia neonatorum?
- Amoxicillin
- Azithromycin
- Ceftriaxone (correct)
- Doxycycline
What aspect of the mother's history is most relevant to the diagnosis of ophthalmia neonatorum in this case?
What aspect of the mother's history is most relevant to the diagnosis of ophthalmia neonatorum in this case?
- Frequent eye touching nature of neonates
- Possible maternal infection with STIs (correct)
- Eye exposure to sunlight
- Unattended birth
What is the appropriate treatment for ophthalmia neonatorum as prescribed by the midwife in this case?
What is the appropriate treatment for ophthalmia neonatorum as prescribed by the midwife in this case?
What is the significance of the number of antenatal visits in this case?
What is the significance of the number of antenatal visits in this case?
Why did the midwife prescribe both Ceftriaxone and Erythromycin for the neonate?
Why did the midwife prescribe both Ceftriaxone and Erythromycin for the neonate?
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Study Notes
Ophthalmia Neonatorum Diagnosis
- A five-day-old neonate presenting with eye redness and discharge is most likely diagnosed with Ophthalmia Neonatorum.
Medication Prescribed
- The midwife prescribed Ceftriaxone and Erythromycin for the neonate with Ophthalmia Neonatorum.
Relevant Maternal History
- The mother's history of sexually transmitted infections (STIs) is most relevant to the diagnosis of Ophthalmia Neonatorum in this case.
Treatment for Ophthalmia Neonatorum
- The appropriate treatment for Ophthalmia Neonatorum, as prescribed by the midwife, includes both Ceftriaxone and Erythromycin.
Antenatal Visits
- The number of antenatal visits is significant in this case, as it may indicate the mother's exposure to STIs during pregnancy.
Combination Therapy
- The midwife prescribed both Ceftriaxone and Erythromycin to cover both gonococcal and chlamydial causes of Ophthalmia Neonatorum.
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