I- HUMAN CASE ANALYSIS – WEEK #4 FOR A 20-YEAR-OLD
MALE PRESENTING WITH AN EYE PROBLEM CLASS 6512 –
ADVANCED HEALTH ASSESSMENT OUTPATIENT CLINIC
WITH LABORATORY CAPABILITIES LATEST UPDATE
Reason for Encounter:
Evaluation of eye pain and redness.
Patient Demographics:
• Age: 20 years
• Sex: Male
• Height: 5’9” (175 cm)
• Weight: 165 lbs (75 kg)
• BMI: 24.4 kg/m²
,Case Mode: Learning mode
Case Location: Outpatient primary care clinic with laboratory and ophthalmic
exam capabilities
Attempts Allowed: Unlimited
2. Chief Complaint (CC)
“My right eye is red and painful, and my vision is blurry.”
3. History of Present Illness (HPI)
The patient is a 20-year-old male presenting with a 2-day history of right eye
redness, pain, and blurred vision. Symptoms began abruptly and have
progressively worsened.
Eye symptom characteristics:
• Location: Right eye
• Onset: Sudden, 48 hours ago
• Duration: Continuous
• Quality: Sharp, gritty sensation with deep aching pain
• Severity: 6/10
• Radiation: Localized to the eye and periorbital area
• Vision changes: Mild blurred vision and photophobia
• Discharge: Watery discharge, no purulence
, • Laterality: Unilateral
Associated symptoms:
• Sensitivity to light
• Excessive tearing
• Mild headache
Negative symptoms:
• No fever
• No nausea or vomiting
• No diplopia
• No trauma
• No foreign body sensation
Risk factors:
• Contact lens use (daily soft lenses)
• Admits to sleeping in contacts occasionally
• Poor lens hygiene reported
Aggravating factors:
• Bright light
• Eye movement
Relieving factors:
• Keeping eye closed
• Avoiding light
MALE PRESENTING WITH AN EYE PROBLEM CLASS 6512 –
ADVANCED HEALTH ASSESSMENT OUTPATIENT CLINIC
WITH LABORATORY CAPABILITIES LATEST UPDATE
Reason for Encounter:
Evaluation of eye pain and redness.
Patient Demographics:
• Age: 20 years
• Sex: Male
• Height: 5’9” (175 cm)
• Weight: 165 lbs (75 kg)
• BMI: 24.4 kg/m²
,Case Mode: Learning mode
Case Location: Outpatient primary care clinic with laboratory and ophthalmic
exam capabilities
Attempts Allowed: Unlimited
2. Chief Complaint (CC)
“My right eye is red and painful, and my vision is blurry.”
3. History of Present Illness (HPI)
The patient is a 20-year-old male presenting with a 2-day history of right eye
redness, pain, and blurred vision. Symptoms began abruptly and have
progressively worsened.
Eye symptom characteristics:
• Location: Right eye
• Onset: Sudden, 48 hours ago
• Duration: Continuous
• Quality: Sharp, gritty sensation with deep aching pain
• Severity: 6/10
• Radiation: Localized to the eye and periorbital area
• Vision changes: Mild blurred vision and photophobia
• Discharge: Watery discharge, no purulence
, • Laterality: Unilateral
Associated symptoms:
• Sensitivity to light
• Excessive tearing
• Mild headache
Negative symptoms:
• No fever
• No nausea or vomiting
• No diplopia
• No trauma
• No foreign body sensation
Risk factors:
• Contact lens use (daily soft lenses)
• Admits to sleeping in contacts occasionally
• Poor lens hygiene reported
Aggravating factors:
• Bright light
• Eye movement
Relieving factors:
• Keeping eye closed
• Avoiding light
