Posted: January 19th, 2023

A 11-year-old female patient complains of red left eye

For this Ace my homework – Write my paper – Online assignment help tutors – Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.
Chief Complaint
(CC) : A 11-year-old female patient complains of 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.
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
Once you received your case number, answer the following questions:
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.

Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current Ace homework tutors – APA style with support from at least 3 academic sources.
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In addition to the information provided in the chief complaint, I would obtain further subjective data by asking the patient about any recent changes in vision, any history of eye infections or injuries, and any family history of eye problems. I would also ask about any other symptoms the patient may be experiencing, such as headache, fever, or swollen lymph nodes.
In addition to the objective findings already noted, I would also examine the patient’s pupils for size, reaction to light, and symmetry. I would also check for any discharge or ulcerations on the cornea, and check for any signs of inflammation or infection on the conjunctiva.
To assist in the diagnostic process, I would order a complete blood count (CBC) to check for any signs of infection, a culture and sensitivity of the exudates, and a visual acuity test. Depending on the results of the examination, I would also consider ordering a CT or MRI scan to check for any underlying structural issues.
Three potential differential diagnoses based on the patient’s presenting symptoms include:
Conjunctivitis: An infection or inflammation of the conjunctiva, which can cause redness, itching, and discharge.
Keratitis: An inflammation or infection of the cornea, which can cause redness, pain, and sensitivity to light.
Blepharitis: An inflammation of the eyelid, which can cause redness, itching, and crusty discharge.
Rationale for differential diagnoses:
Conjunctivitis: The patient’s symptoms of redness and edematous eyelids, as well as the presence of dried, crusty exudates, are consistent with conjunctivitis. Additionally, the patient’s complaint of “sand in my eye” could be a symptom of conjunctivitis.
Keratitis: The patient’s symptoms of redness and pain, as well as the presence of dried, crusty exudates, are consistent with keratitis. Additionally, the patient’s inability to open her eyes in the morning and her complaint of “sand in my eye” could be a symptom of keratitis.
Blepharitis: The patient’s symptoms of redness and edematous eyelids, as well as the presence of dried, crusty exudates, are consistent with blepharitis. Additionally, the patient’s complaint of “sand in my eye” could be a symptom of blepharitis.

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