C.J. is a 27-year-old male who started to present crusty
C.J. is a 27-year-old male who started to present crusty and yellowish discharge on his eyes 24 hours ago. In the beginning, he thought that by washing his eyes vigorously the discharge would go away but on the contrary, it increased causing blurry vision, especially in the morning. Once he clears his eyes of the sticky discharge his visual acuity is normal again. Also, he has been feeling a throbbing pain in his left ear. His eyes became red today, so he decided to consult to get evaluated. On his physical assessment, you found a yellowish discharge and bilateral conjunctival erythema. His throat and lungs are normal, and his left ear canal is within normal limits, but the tympanic membrane is opaque, bulging, and red.
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Case Study 2 Questions:
Based on the clinical manifestations presented in the case above, what would be your diagnosis for C.J. Please name why you got to this diagnosis and document your rationale.
Any additional diagnosis or complication noted? Explain.
With no further information would you be able to name the probable etiology of the eye affection presented? Viral, bacterial, allergic, gonococcal, trachoma. Why and why not?
Based on your answer to the previous question regarding the etiology of eye affection, which would be the best therapeutic approach to C.J.’s problem? Include any additional treatment or approach to any other diagnosis or complication present in this case.
Explanation & Answer
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