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NR 511 Week 3 Case Study Part 1

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NR 511 Week 3 Case Study Part 1 Patient is a 19 year old Male who presents today with a complaint of bilateral eye discomfort that began 2-3 days ago. The eye discomfort is reported as a 2/10 on the pain scale and is described as a constant “gritty” or sand like feeling. He further reports his eyes are itchy and have watery drainage or tearing. He reported having redness that temporary relieved with OTC visine, but the eye irritation continued. The patient does not recall any recent trauma or foreign object in his eyes. He denies any crusting or purulent drainage. He does note that he has an occasional runny nose with intermittent congestion but no sneezing. His past medical history includes seasonal nasal allergies which flares up only in spring and is controlled with Loratadine 10mg and Fluticasone Nasal Spray in peak season. The patient further denies any ear pain, throat pain or redness, fever, chills, SOB or wheezing. Physical assessment essentially negative with the exception of noted pale and boggy nasal turbinate’s as well as mild to moderate swelling and clear drainage. Bilateral eyes with noted photosensitivity and diffuse conjunctiva redness and tearing. Visual acuity remains 20/20 bilaterally (uncorrected), no foreign object noted, no mass, lesions or crusting on lids. Fundiscopic examination WNL. ........................


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Uploaded on
January 17, 2022
Number of pages
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Written in
2021/2022
Type
Case
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Grade
A
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