Integrated management of neonatal and childhood illness
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- Part 2
- LOOK for pus draining from the eye
- LOOK for clouding of the cornea
| *** EXERCISE G In this exercise, you will look at photographs of children with measles. You will practice identifying mouth ulcers. Part 1: Study photographs 51 through 53, and read the explanation for each one. Photograph 51: This is an example of a normal mouth. The child does not have mouth ulcers. Photograph 52: This child has Koplik spots. These spots occur in the mouth inside the cheek early in a measles infection. They are not mouth ulcers. Photograph 53: This child has a mouth ulcer. Part 2: Study photographs 54 through 56 showing children with measles. Look at each photograph and tick if the child has mouth ulcers. Does the child have mouth ulcers? YES NO Photograph 54 Photograph 55 Photograph 56 Tell your facilitator when you are ready to discuss your answers to this exercise. 32 LOOK for pus draining from the eye. Pus draining from the eye is a sign of conjunctivitis. Conjunctivitis is an infection of the conjunctiva, the inside surface of the eyelid and the white part of the eye. If you do not see pus draining from the eye, look for pus on the conjunctiva or on the eyelids. Often the pus forms a crust when the child is sleeping and seals the eye shut. It can be gently opened with clean hands. Wash your hands after examining the eye of any child with pus draining from the eye. LOOK for clouding of the cornea. The cornea is usually clear. When clouding of the cornea is present, there is a hazy area in the cornea. Look carefully at the cornea for clouding. The cornea may appear clouded or hazy The clouding may occur in one or both eyes. Corneal clouding is a dangerous condition. The corneal clouding maybe due to vitamin A deficiency which has been made worse by measles. If the corneal clouding is not treated, the cornea can ulcerate and cause blindness. A child with clouding of the cornea needs urgent treatment with vitamin AA child with corneal clouding may keep his eyes tightly shut when exposed to light. The light may cause irritation and pain to the child's eyes. To check the child's eye, wait for the child to open his eye. Or, gently pull down the lower eyelid to look for clouding. If there is clouding of the cornea, ask the mother how long the clouding has been present. If the mother is certain that clouding has been therefor sometime, ask if the clouding has already been assessed and treated at the hospital. If it has, you do not need to refer this child again for corneal clouding. Download 0.61 Mb. Share with your friends:
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