Chalazion

-
Patient presents with a painless cyst in the eyelid
Location:
Duration:
Describes a irritation in the eyelid with no changes to visual acuity


On examination:

Lump consistant with a chalazion

Treatment:

Advised the patient of the diagnosis and reassured them this is not serious

Discussed the following options:
1. Leave alone and allow to resolve on its own over a few months
2.Steaming the eyelid with  hot water (left for about 5 to 10 minutes after boiling) in a thermos onto the closed eye for 10 to 15 minutes combined with massage.
3. Soak a hand towel or similar cloth in hot water and press it firmly but gently against the closed eye for several minutes.
4. Surgical referral to opthalmologist for excision

Advised to return if the lump becomes infected

Patient has elected to trial conservative measures and return if these fail


keywords:  chalazion, meibomian cyst , tarsal cyst

Comments

Post a Comment

Popular posts from this blog

Chest infection

-
Patient presents with a productive cough Generalised Malaise Sputum green in colour Occasional fevers Examination: Respiratory exam: Good Air entry bilaterally No Resp distress CREPITATIONS HEARD Reason for visit: Chest infection Management: Oral Antibioitics as prescribed Patient advised to: - Rest - Regular paracetamol +/- Ibuprofen - Drink plenty of fluids They have been advised to return here or present to ED should their symptoms worsen or if they have any concerns Keywords:  +chestinfection, Penumonia
Read more

Pill Script / OCP / Oral Contraceptive Pill

-
Presents for a refill of her oral contraceptive pill script Has been on this medication for some time without any ill effect No history of - Hypertension - DVT / PE - Migraine with aura Preventiative health screen: Cervical smears up to date Good Diet Exercises regularly Non smoker No concerns about mood Examination: BP:  Reason for contact: Oral contraceptive pill script Management: Script as requested
Read more

STI Check - Aysmptomatic

-
Patient  presents requesting screening testing for sexually-transmitted diseases Patient states they have no symptoms which concern for a STD Counselled patient on the testing that we perform HIV counselling provided and the patient informed that the negative result does not mean that they are clear if they can send I will need to have further testing if they had an exposure which they feel would be high risk for this disease  tests to be performed:  - Gonorrhoea  and chlamydia with first catch urine  -  had HIV, hepatitis C, hepatitis B, syphilis with blood testing serology   herpes simplex testing  was not included as the patient does not have any lesions which were consistent with this disease  advised patient that the best form of protection for STDs is condom is but this would not provide protection against  contracting herpes from her partner who has an active infection  advised patient that if the neither p...
Read more