For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.
Chief Complaint: A 11-year-old female patient complains of a red left eye and edematous eyelids. Her mother states the child complains of “sand in my left eye.”
Subjective:Patient noticed redness three days ago. Denies having any allergies. Symptoms have gotten worse since she noticed having the problem.
Objective Data:
VS:(T) 98.2°F; (RR) 18; (HR) 78; BP 128/82; SpO2 96% room air; weight 110 lb.
General:well-developed, healthy, 11 years old
HEENT:EYES: very red sclera with dried, crusty exudates; unable to open eyes in the morning with the left being worse than the right
Skin: CTA AP&L
answer the following questions:
What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic exams do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms.
Give rationales for each differential diagnosis.