Ophthalmia Neonatorum Diagnosis and Treatment

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6 Questions

What is the most likely diagnosis for the five-day-old neonate presented with eye redness and discharge?

Conjunctivitis

Which medication was prescribed by the midwife for the neonate with ophthalmia neonatorum?

Ceftriaxone

What aspect of the mother's history is most relevant to the diagnosis of ophthalmia neonatorum in this case?

Possible maternal infection with STIs

What is the appropriate treatment for ophthalmia neonatorum as prescribed by the midwife in this case?

Erythromycin 50mg/kg for 14 days

What is the significance of the number of antenatal visits in this case?

It indicates the mother's prenatal care and potential infections

Why did the midwife prescribe both Ceftriaxone and Erythromycin for the neonate?

To cover a broad spectrum of bacterial pathogens

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.

Test your knowledge on the diagnosis and treatment of ophthalmia neonatorum in a five-day-old neonate who presents with eye redness and discharge. Explore the key history components that support the diagnosis and the recommended antibiotic regimen.

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