History of Present Illness (HPI)
An eight-day-old girl is brought to the pediatrician for discharge of the right eye. The discharge started three days ago and was initially watery. Yesterday, the discharge became more purulent and the white surface of the eye became more swollen. She has also noticed some crusting of the eyelashes of both eyes, which has made it difficult for the patient to open her eyes. The mother has tried using warm compresses without relief.
What’s at the top of your differential diagnosis? Choose at least 3 before moving on!
Nasolacrimal duct obstruction
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