Case 2: Additional History

Case 2 Index

Answer: Image B is correct!

ScleritisAbove image credit

Here’s some additional history:

You also find a recent rheumatology note which included a lab work up for the patient’s arthralgias.

Below are some of the lab test findings:

CMP WNL
CBC WNL
Quant gold WNL
RPR neg
ACE WNL
Lysozyme WNL
+Rheumatoid factor
p-ANCA and c-ANCA neg
CXR WNL
HLA B27 neg

It’s time to make your diagnosis. What’s the most likely diagnosis? Choose  1 before moving on!
Subconjunctival hemorrhage
Corneal ulcer
Blepharitis
Dry eye syndrome
Episcleritis
Scleritis
Chalazion
Uveitis
Conjunctivitis
Preseptal cellulitis

Click here to move on!

Case 2 Index
Case 2 Introduction

Case 2: Physical Exam