5 • 795 Ratings
🗓️ 3 June 2018
⏱️ 7 minutes
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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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