Question

Please Write Succinct: Red Eye

• Review of Systems: Associated symptoms and Risk Factors
• Findings on Focused Physical Exa
• Five Differential Diagnosis

See example below for question #1:

1. Sore Throat

ROS:

Associated symptoms: fever, redness or eye discomfort, sneezing, wheezing, cough, runny nose, postnasal drip, GERD like symptoms, fatigue, muscle ache, n/v, and diarrhea.

Risk Factors:

Smoking, new sexual partners, irritant exposure, medications, and chronic health problems.

Red flags:

drooling, unable to swallow, unable to lie down, restless, unable to stay still, and unable to talk.

PE findings:

Epiglottis- severe illness with signs of upper airway obstruction such as restlessness, stridor, difficulty breathing, drooling, inability to swallow and high fever signals epiglottis and requires immediate referral. Further examination with a tongue blade could trigger laryngospasms and lead to airway obstruction.

Peritonsillar retropharyngeal abscess- orthopnea, dyspnea, symmetrical swelling, abscess, trismus.

Viral pharyngitis: Erythema, edema of throat, tender posterior cervical nodes.

GAS: temp more than 101.5, exudate anterior cervical lymphadenopathy.

Mononucleosis: presence or absence of pharyngeal exudate, posterior cervical lymphadenopathy, splenomegaly.

Gonococcal pharyngitis: pharyngeal exudate bilateral cervical lymphadenopathy

Inflammation: sinus tenderness, pale or swollen pharynx, postnasal drainage visible, no fever or lymphadenopathy.

Aphthous Stomatitis: shallow ulcers, no vesicles; indurated papules that progress to 1 cm ulcers; ulcer has yellow membrane and red halo; no fever or nodes.

Herpes simplex Lesions: perioral lesions; lymph adenitis; vesicles on palate, pharynx gingiva.

Herpetic pharyngitis: vesicles, ulcers, or exudate of the oral and pharyngeal mucosa.

Candidiasis: curd like white plaques that bleed when scraped off.

Differential diagnosis:

Viral Pharyngitis, Streptococcal Pharyngitis, peritonsillar or retropharyngeal abscess, Mononucleosis, Epiglottis, gonococcal pharyngitis, Herpangina, Vincent angina, Aphthous stomatitis, HSV type 1, Candidiasis, GERD.

Answer 1

Answer ROS: *ASSOCIATED SYMPTOMS-Irritation, Itching, Pain and Dryness, Light Sensitivity, Discharge and Watery Eyes, Fever, Vomiting and Blurred vision *RISK FACTORS- Irritants Exposure, Medication, Foreignbodies, Non penetrating trauma, Chronic alcoholism, Smoke Exposure, Sleep disturbance, and Rubbing of eye. *RED FLAGS -Visual loss, Pain of Eye, Decreased Vision, Blurred vision, Photophobia, and Vomiting. * PE FINDINGS _Red Eye with Mucopurulent Discharge in BACTERIAL CONJUNCTIVITIS _If ALLERGIC CONJUNCTIVITIS Patient feels Itching, Fever and Dyspnoea. _In Viral Conjunctivitis Fever and Sore throat present _Pain and Crusts formation at the Corner of Eye _In SEBORRHEIC BLEPHARITIS the Reddened Eye lids with Scale formation at the base of Eyelids _In ULCERATIVE BLEPHARITIS Crusts formation at the Eye lashes, Inflamed Corneas _In HORDEOLUM Staphylococcus Abcess in the Sebaceous glands if Base of Eye lashes _In CHALAZION affected Merbomian glands of eyelids _In KERATITIS Inflammation of Cornea, layers of Cornea affected _In IRITIS Pain present in eye, Sensitivity to Light, Lossvof vision Tested by SNELLEN'S CHART. Swelling of the Eyes also present. _IN CORNEAL ABRASION Pain, Sensitivity to Light, and also Head ache present _IN SUBCONJUNCTIVAL HEMORRHAGE White Red patch appeared in the White of the eye and conjunctiva, Sudden onset of coughing and vomiting present. _In SCLERITIS Sclera become Inflamed And red .Pain also present. _In CHEMICAL BURN Redness, Irritation and burning sensation at the site of injury. Numbness also present. *DIFFERENTIAL DIAGNOSIS _VIRAL CONJUNCTIVITIS, BACTERIAL CONJUNCTIVITIS, SEBORRHEIC BLEPHARITIS, ULCERATIVE BLEPHARITIS, ALLERGIC CONJUNCTIVITIS, HORDEOLUM, CHALAZION, KERATITIS, IRITIS, SCLERITIS and Chemical Burning