C/O pain, itching, swelling. Diagnosis & treatment?
Herpes Zoster Ophthalmicus. Involves mainly dermatom of 5th Cranial Nv distribution. Investigation:BSL Treatment: Tab Acyclovir 800mg 5times daily×7days, Acyclovir ointment to apply locally & Moxifloxacin eye ointment to apply locally only in eye.Cap Gabapentin 300mg TDS×14days,Tab Ibuprofen 400mg sos,Proper eye care.
Herpes zoster acyclovir skin oint,acyclovir Eye/oint 5 hourly acyclovir tab acyclovir 800mg 5 hourly Tab bd promethazine ,cap Gabapentine 300mg bd vitC500mg bd moxflox eye/d tds 7 days with Hutchison sign (top of the nose involved)
HERPES ZOSTER RT FORE HEAD EYE NBROW . RT EYE RT SIDE NOSE &LOWER EYE LIID RX 1ISOLATION a ACYCLOVIR 1 1PO 8OOmg 5 times ... FOR 7 DAYS 2 EYE DROPS TD b STEROID EYE DROPS TD C PREGABALIN
Additionally there is a blister on the tip of the nose, Hutchinson rule - indicating the possibility of involvement of the eye.
Herpes zoster ophthalmicus.
HZO.... Hutchinson sign positive
Herpes zoster Give Acylovir 800 1 tab tds Brufen 400 1 tab tds Cream Acyclovir apply locally
r h z ophthalmics highsons sign positibe as tip of nose is involved indicating corneal involement
HZO
Herpes zoster opthalmicus,rule out HIV, treat accordingly..
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