Comprehensive i-Human Case Analysis – Week
4 (2025): 20-Year-Old Male With Acute
Bacterial Conjunctivitis (Outpatient Clinic)
, Comprehensive i-Human Case Analysis – Week 4 (2025)
20-Year-Old Male With Acute Eye Problem (Bacterial Conjunctivitis)
Outpatient Primary Care Clinic
CHIEF COMPLAINT (CC)
“My right eye is red, painful, and has thick yellow discharge.”
HISTORY OF PRESENT ILLNESS (HPI)
The patient is a 20-year-old male who presents to the outpatient clinic with acute onset right eye
redness, irritation, and purulent discharge that began 2 days ago. Symptoms started suddenly and have
progressively worsened. The patient reports yellow-green discharge, eyelids sticking together upon
waking, mild eye pain, itching, and foreign body sensation.
He denies blurred vision, photophobia, trauma, chemical exposure, recent eye surgery, or contact lens
use. He reports recent close contact with a roommate who had “pink eye” one week ago. No history of
similar episodes.
PAST MEDICAL HISTORY (PMH)
No chronic illnesses
No history of eye disease
No recent hospitalizations
PAST SURGICAL HISTORY (PSH)
Denies any surgeries
, MEDICATIONS
None
ALLERGIES
No known drug allergies (NKDA)
FAMILY HISTORY (FH)
Father: Hypertension
Mother: Alive and well
No family history of eye disease or autoimmune conditions
SOCIAL HISTORY (SH)
College student
Lives with roommates
Denies tobacco, alcohol, or illicit drug use
Not sexually active currently
No contact lens use
REVIEW OF SYSTEMS (ROS)
4 (2025): 20-Year-Old Male With Acute
Bacterial Conjunctivitis (Outpatient Clinic)
, Comprehensive i-Human Case Analysis – Week 4 (2025)
20-Year-Old Male With Acute Eye Problem (Bacterial Conjunctivitis)
Outpatient Primary Care Clinic
CHIEF COMPLAINT (CC)
“My right eye is red, painful, and has thick yellow discharge.”
HISTORY OF PRESENT ILLNESS (HPI)
The patient is a 20-year-old male who presents to the outpatient clinic with acute onset right eye
redness, irritation, and purulent discharge that began 2 days ago. Symptoms started suddenly and have
progressively worsened. The patient reports yellow-green discharge, eyelids sticking together upon
waking, mild eye pain, itching, and foreign body sensation.
He denies blurred vision, photophobia, trauma, chemical exposure, recent eye surgery, or contact lens
use. He reports recent close contact with a roommate who had “pink eye” one week ago. No history of
similar episodes.
PAST MEDICAL HISTORY (PMH)
No chronic illnesses
No history of eye disease
No recent hospitalizations
PAST SURGICAL HISTORY (PSH)
Denies any surgeries
, MEDICATIONS
None
ALLERGIES
No known drug allergies (NKDA)
FAMILY HISTORY (FH)
Father: Hypertension
Mother: Alive and well
No family history of eye disease or autoimmune conditions
SOCIAL HISTORY (SH)
College student
Lives with roommates
Denies tobacco, alcohol, or illicit drug use
Not sexually active currently
No contact lens use
REVIEW OF SYSTEMS (ROS)
