Term
1. How do you introduce yourself in a blepharitis consultation?
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Definition
1. "Hello, I'm Dr [Williams]. May I confirm your name and age? I understand you have eye irritation. Let me ask questions to help."
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Term
| 2. What ODIPARA-like questions assess eyelid symptoms? |
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Definition
2.
- Onset: "When did symptoms start?"
- Duration: "Constant or intermittent?"
- Laterality: "One or both eyes?"
- Intensity: "Itchy, sore, or burning? Any swelling?"
- Pattern: "Crusting/flakes? Gritty sensation? Lids stuck in morning?"
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Term
| 3. What 6 key screening questions rule out differential diagnoses? |
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Definition
3.
1. "Any sticky discharge?" → Conjunctivitis
2. "Vision changes?" → Corneal involvement
3. "Light sensitivity?" → Keratitis
4. "First episode or recurrent?" → Chronicity
5. "Triggers like smoke/makeup?" → Allergic component
6. "Tried home treatments?" → Treatment response
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Term
| 4. What medical risk factors should be explored? |
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Definition
4.
- Contact lens use
- Makeup habits
- Skin conditions (rosacea/eczema/seborrhoiec dermatitis)
- Dry eye history or artificial tear use
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Term
5. What PMAFTO-SA elements are relevant?
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Definition
5.
- Past: Eye infections/allergies
- Medications: Eye drops/new drugs
- Allergies: Cosmetics/medications
- Family: Rosacea/dry eyes
- Travel/Illness: Recent exposures
- Occupation: Screen time/dusty environments
- Social: Smoking/alcohol/home remedies
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Term
6. How do you address ICE (Ideas, Concerns, Expectations)?
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Definition
6.
- Ideas: "What do you think is causing this?"
- Concerns: "Worried it's serious?"
- Expectations: "Hoping for treatment or reassurance?"
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Term
7. What life impact questions should be asked?
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Definition
7.
- "Affecting reading/work/screen use?"
- "Disturbing sleep/mood?"
- "Self-conscious about appearance?"
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Term
8. What examinations would you perform?
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Definition
8.
- General observations (vitals, appearance)
- Eyelid: Redness/crusting/swelling
- Vision check
- Pupil reactivity
- Corneal inspection (clearness/ulcers)
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Term
9. How do you explain blepharitis diagnosis?
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Definition
9. "Inflammation of eyelid margins from blocked oil glands. Causes redness/flakes like 'eyelid dandruff.' Not contagious or dangerous but requires management. Regular cleaning helps most people."
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Term
10. What are the 4 steps of eyelid hygiene management?
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Definition
10.
1. Warm compresses 5-10 mins daily
2. Gentle lid margin massage
3. Lid cleaning with baby shampoo/commercial solution
4. Daily maintenance even after improvement
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Term
11. What supportive measures help manage blepharitis?
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Definition
11.
- Preservative-free artificial tears
- Avoid eye makeup/contacts during flares
- Tea tree products if mites suspected
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Term
12. When are medications indicated?
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Definition
12. If no improvement after 2-4 weeks of hygiene:
- Topical chloramphenicol ointment (6 weeks)
- Oral doxycycline (severe cases, specialist-guided)
- Never initiate steroids without ophthalmology
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Term
13. What 5 referral indications exist?
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Definition
13.
1. No improvement with treatment
2. Recurrent chalazia/gland dysfunction
3. Suspected rosacea
4. Corneal involvement
5. Diagnostic uncertainty
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Term
14. What safety netting advice is crucial?
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Definition
14. "Return immediately if:
- Severe eye pain
- Blurred/reduced vision
- Sudden eye swelling/redness"
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Term
15. What is the follow-up plan? |
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Definition
15.
- Provide NHS blepharitis leaflet
- No follow-up if resolved
- Review in 4-6 weeks if persistent |
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