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another opthal - kallastro
#1
A 60-year-old man complains of left eye pain and photophobia. After staining the affected eye with fluorescein, Wood™s lamp examination reveals uptake in a fine branching pattern. His ipsilateral conjunctiva is injected, and there is erythema of the periorbital skin. You also note erythema and a small vesicle on the tip of the patient™s nose. What is the most appropriate therapy for this patient?

1. Oral antibacterial agent
2. Oral antifungal agent
3. Oral antiviral agent
4. Topical antibacterial agent
5. Topical antiviral agent
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#2
3 or 5?3
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#3
3 ( oral acylovir)
This is Hutchinson's sign, isn't it ??
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#4
3 it is
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#5
3?
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#6
3. Oral antiviral agent
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#7
yes, 3 oral acyclovir
dx is herpes zoster/simplex ophthalmicus (Boards and wards has a very nice pic of this dis)
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