Ophthalmia Neonatorum Diagnosis and Treatment
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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?

  • Conjunctivitis (correct)
  • Retinopathy
  • Myopia
  • Glaucoma
  • 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?

  • 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?

    <p>Erythromycin 50mg/kg for 14 days</p> Signup and view all the answers

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

    <p>It indicates the mother's prenatal care and potential infections</p> Signup and view all the answers

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

    <p>To cover a broad spectrum of bacterial pathogens</p> Signup and view all the answers

    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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    Description

    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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