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EM Clerkship

Neonatal Conjunctivitis

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 3 June 2018

⏱️ 7 minutes

🧾️ Download transcript

Summary

The 3 Worst Causes of Neonatal Conjunctivitis Gonorrhea Causes corneal ulcers and sepsis Red flags 1st week of life Copious purulent drainage Diagnose with cultures Treatment Cefotaxime (3rd generation cephalosporin) Admit Chlamydia Occurs in 1st month of life Treat with PO erythromycin HSV Can disseminate to the brain Red flags Mother tested positive (or had […]

Transcript

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0:00.0

Hello, men students. My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast.

0:12.6

More PEDs. We've got a quick high-yield peeds topic again this week. Should only take a few minutes.

0:19.8

Neonatal conjunctivitis. You're going to see it on your

0:24.4

peds rotation. You're going to see it on your EM rotation. And certainly on step one, step two,

0:29.2

you got to know this. What you need to know for emergency medicine, at least, are the bad causes,

0:37.1

of which there are three.

0:40.0

There are some other common causes as well, and we're going to go through them all.

0:45.5

But the one question you have to ask yourself, when you have a baby with conjunctiveitis,

0:52.3

did this baby get STDs in its eye? It's the grossest scenario. It's the worst

1:00.9

case scenario. You're concerned about sexually transmitted infections in the eye. That is your concern.

1:09.0

Sexually transmitted infections in the eye. Now, when you learn this

1:16.0

originally, it was probably in chronologic order. You learn that the prophylactic drops

1:23.4

caused red, draining eyes on that first day of life.

1:28.3

And then you learn that gonorrhea with that purulent drainage is in that first week.

1:35.3

And then that chlamydia is in that first month.

1:38.3

And that's how you probably learn this.

1:40.3

And that's kind of how I learned it too.

1:42.3

But now I think about it differently differently now that I'm a resident.

1:46.4

Again, what I want you to be thinking is did this kid get STDs in its eyeball? That's what matters.

1:55.8

Everything else is secondary to the venereal eyeball. Three STDs that you need to be concerned about.

2:03.4

And we're going to start with the worst.

2:07.7

Gonorrhea eyeball.

...

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