Question

A 7-year-old Aboriginal girl living in a remote community presents with itchy eyes and a history of sticky discharge. Examination reveals follicles on the upper tarsal conjunctiva and pannus formation on the cornea. Several siblings have similar symptoms. What condition is this community at increased risk of, and what is the key public health strategy?

Accepted Answer

Trachoma; implement the SAFE strategy (Surgery, Antibiotics, Facial cleanliness, Environmental improvement)

Answer

Allergic conjunctivitis; prescribe topical antihistamines only

Answer

Viral conjunctivitis; isolate the child at home

Answer

Bacterial conjunctivitis; treat with chloramphenicol only

Answer

Onchocerciasis; commence ivermectin

Practice question