A 27 yo medical student presents to your office with a chief complaint of redness, itching and foreign body sensation in the left eye. What additional history do you want to obtain?
When did these symptoms start? (click to show/hide)
Any history of eye trauma? (click to show/hide)
Any foreign bodies in eye? (click to show/hide)
Any discharge from eye? (click to show/hide)
Is the redness only in the left eye? (click to show/hide)
Do you have any associated symptoms? (click to show/hide)
Do you wear contacts? (click to show/hide)
A 27 yo medical student presents to your office with a chief complaint of redness, itching and foreign body sensation in the left eye. What physical examinations would you perform?
VA (click to show/hide)
Confrontational visual fields (click to show/hide)
Pupil (click to show/hide)
Motility (click to show/hide)
External exam (click to show/hide)
A 27 yo medical student presents to your office with a chief complaint of redness, itching and foreign body sensation in the left eye. What is the most likely diagnosis?
Scleritis (click to show/hide)
Allergic conjunctivitis (click to show/hide)
Bacterial conjunctivitis (click to show/hide)
Viral conjunctivitis (click to show/hide)
Foreign body in the eye (click to show/hide) Based on the recency of his URI, scant eye discharge, and the unilateral conjunctival injection, you diagnose viral conjunctivitis. What is the most appropriate treatment for this patient?
Antibiotic eye drops (click to show/hide)
Steroid eye drops (click to show/hide)
Antihistamine eye drops (click to show/hide)
Good eye hygiene and frequent hand washing (click to show/hide)
Oral acyclovir (click to show/hide)
Prescribe proparacaine (click to show/hide)
Conjunctivitis is a common cause of red eye. There are three common varieties – bacterial, viral, and allergic. Bacterial conjunctivitis is acute, often unilateral, very red, and associated with purulent discharge. Most common pathogens are Streptococcus and Staphylococcus. Viral conjunctivitis is usually subacute, often associated with a viral prodrome, and is associated with a water mucoid discharge. It usually starts off unilateral, but can easily spread to other eye. Adenovirus is the most common pathogen. Allergic conjunctivitis is often associated with other allergic symptoms e.g. runny nose, sneezing. It is usually bilateral and associated with profuse watery discharge from eyes. The redness may be less evident than in other forms of conjunctivitis and it responds to topical antihistamines. Neonatal conjunctivitis is becoming less common but is still important for boards. Three flavors of neonatal conjunctivitis, with distinct temporal differences. Chemical conjunctivitis is usually secondary to silver nitrate drops and develops within hours of birth. Gonococcal conjunctivitis develops within 2-4 days of birth, and Chlamydia conjunctivitis develops about a week after birth and may be associated with pneumonia.Q1
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Summary