History of Present Illness (HPI)
A 62 yo female with no PMH presents to the primary care clinic with 1 week of redness and pain of left eye. She describes the pain as a dull ache which is exacerbated with eye movements. She denies any changes in her vision, photophobia, discharge, flashes, or floaters. In addition to her ocular symptoms she also has been having joint pain and morning stiffness in her wrists and knees but she reports that this only happens sometimes and hasn’t affected her quality of life. Her mother and sister have a history of arthritis but she doesn’t know what kind.
Which of the following are at the top of your differential diagnosis? Choose at least 1 before moving on!
Subconjunctival hemorrhage
Scleritis
Episcleritis
Dry eye syndrome
Blepharitis
Uveitis
Corneal ulcer
Conjunctivitis
Preseptal cellulitis
Chalazion
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