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Pediatric emergency medicine trisk 4057 4057

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FIGURE 123.14 A patient with multiple chalazions, including one in the left upper eyelid
draining spontaneously via the skin.

FIGURE 123.15 Chronic chalazion within left upper lid.

The treatment for both a chalazion and a stye is essentially the same. Eyelash
scrubs once or twice daily are helpful in mechanically establishing drainage.
Baby shampoo is applied to a washcloth and then used to gently scrub the base of
the eyelashes while the eyelids are shut. Warm compresses over closed eyelids
four times daily for 10 minutes may be helpful, but is rarely tolerated well by
younger children. If a washcloth is used it will cool quickly and will need to be



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