Ophtho On Call Case 3: Introduction

History of Present Illness (HPI)

A 23 year old cis-gender female with no significant PMHx presents to the ED with 2 days of increased sensitivity to light and a painful, red left eye. She recalls her left eye feeling swollen 5 days ago and endorses a feeling of sand in her eye accompanied by excessive tearing. She removed her contacts and tried flushing the eye with water with no relief. She presents to the E.D. because the pain has gotten worse and today she woke up with blurry vision and discharge around her left eye.

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What’s at the top of your differential diagnosis? Choose at least 3 before moving on!
Conjunctivitis
Corneal Abrasion
Corneal Ulcer
HSV Keratitis
Scleritis
Neurotrophic keratopathy
Blepharitis
Anterior uveitis
Acute angle closure glaucoma
Corneal foreign body
What additional questions would you like to ask? Click all that apply
Contact lens habits (sleeping in lenses, extent of wear, etc)?
Pain with eye movements?
Nausea/vomitting?
Swimming in contact lenses?
Eye drop use?
Previous ocular history?

Click here for additional history and the physical exam!