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Steven Bentman

丁香诊所 马里兰大学医学院附属医院

马里兰大学医学院附属医院视频 / 时长20分钟

丁香诊所全科培训课程 55:常见眼睑感染的类型与诊治

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课程介绍

在丁香诊所「全科医生强化培训班」中,马里兰大学医学院附属医院医生委员会主席 Steve Bentman 与大家一起讨论眼睑感染相关话题。

眼部常见感染有结膜炎、睑缘炎、麦粒肿和霰粒肿等。

细菌性结膜炎常见的病原菌包括葡萄球菌、MRSA、肺炎链球菌、流感嗜血杆菌、铜绿假单胞菌等,临床表现为分泌脓液、眼睑粘连等,一般不影响视野。10-12 天可自愈,及时用磺胺类、喹诺酮或杆菌肽等干预可以在 3 天内治愈。

性传播的结膜炎包括淋病、衣原体和疱疹感染等,淋病奈瑟菌感染可以通过自体传播或母婴传播,临床表现主要是大量脓液,需要做涂片检查,治疗主要使用头孢曲松。

沙眼是世界范围内的首要致盲原因,主要表现为结膜滤泡和角膜血管增生,其病程可分为 3 期,治疗主要通过使用阿奇霉素或多西环素治疗 3 周。

睑缘炎是葡萄球菌感染引起的眼睑炎症,主要症状为痒、畏光、灼痛,治疗可使用硼酸和抗生素。

麦粒肿是很常见的化脓性炎症,切开引流即可,可使用抗生素。麦粒肿进一步进展就发展为霰粒肿,可持续数周至数月,需至眼科进一步处理。

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Steven Bentman 丁香诊所 马里兰大学医学院附属医院

Steven Bentman,马里兰大学医学院附属医院医生委员会主席。

M.D, University of Maryland Upper Chesapeake Medical Center 500 Upper Chesapeake Drive Belair Maryland

Experience:
June 1998-Present
Emergency Medicine Physician
Medical Director of the Department of Emergency Medicine,(July 2007--Present) Maryland Emergency Medicine Network, University of Maryland.
President of the Medical Staff, (January 2010-January 2014)
Board Member University of Maryland Upper Chesapeake Medical Center (Januaryl/10-1/2014)
Vice President of the Medical Staff, (January2009-- December 2010) Upper Chesapeake Medical Center
Interim Chairman of the Department of Emergency Medicine (December 2006--July2007)
Interim Chairman of the Department of Emergency Medicine (July 2004 -- January 2005)
Member of the Medical Executive Committee(August 2004 -- February 2006), (December2006--Present)
Member of the Performance Improvement Committee(August 2004 -- February 2006), (December 2006--Present)
Member of the STEMI Committee (July 2008 -- Present)
Member of the Stroke Committee (July 2008 -- Present)
Member of the Ethics Committee (July 1998 -- July 2007)
Best Physicians in Baltimore Maryland 2010
Doctor Awards 2005 Best Bedside Manner, Best Communicator
Physician of the Quarter 2001 recognized for service excellence

June 1992-June 1998
Emergency Medicine Physician:
Capital Emergency Associates/EM Care Doctors Hospital
8118 Good luck Road
Lanham, MD 20706

Associate Partner Capital Emergey Associates Education Sel'Vices Coordinator/EMS
Physician Member of the Fast-track Committee Implementation
Physician Member of the Emergey Medicine Department Renovation Committee
Member of Capital Emergency Associates and EM Care Leadership Team
Instructor Nursing Internship Program
Preceptor for the Anne Arundel Hospital Physician Assistant Program
Preceptor for the Essex Community College Physician Assistant Program
Chairman of the Emergency Department Task Force Committee

July 1988- June 1992
Internist
Internal Medicine Physician
White Marsh Medical Center 8817 Bel Air Road
Baltimore MD 21236

July 1985 -- June 1988
Resident Internal Medicine (July 1985- June 1987)
Harrisburg Hospital
South Front Street
Harrisburg PA 17101

Chief Medical Resident (July 1987-- June 1988)
Member of the Special Care Committee (July 1987 -- June 1988)
Member of the Trauma Team

July 1984 - June 1985
Intern Internal Medicine (Julyl984-Junel985)
Lincoln Hospital
234 East 149, Street
Bronx New York

Education
June 1984
Medical Doctor, Universidad Autonoma de Ciudad Juarez Ciudad Juarez, Chihuahua Mexico
June 1979
Bachelor of Science, Long Island University, C. W. Post,Greendale New York
June 1974, High School Diploma, Division Avenue High School, Division Avenue, Levittown New York 11756

Certifications
Board of Internal Medicine, ABIM 1992
Board of Emergency Medicine, BECM 1992
Advanced Cardiac Life-support
Advanced Trauma Life-support
Advanced Pediatric Life-support

Professional Organizaions
Amencan College of Emergency Physicians
Physician Leadershlp Academy Member (Aug. 2003-Present)

Professional Licenses
Pennsylvania
Maryland
Virginia

Hospital Affiliations
University of Maryland Upper Chesapeake Medical Center, 500 Upper Chesapeake Drive, Bel Air, Maryland 21014
University of Maryland Harford Memorial Hospital, 501 South Union Avenue,
Havre de Grace Maryland 21078
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