Comprehensive SOAP Case Study: Acute Bacterial Conjunctivitis – Outpatient Clinic Lab Analysis | Class 6512

Comprehensive SOAP Case Study: Acute
Bacterial Conjunctivitis in an Outpatient
Clinic with Laboratory Capabilities –
Class 6512 Exam Submission

,Patient Information:



Name: [Patient Name]



Age: 28 years



Gender: Male



Date: 20/12/2025



Clinic: Outpatient Clinic with Laboratory Capabilities



S – Subjective



Chief Complaint (CC): “My left eye is red, itchy, and has discharge for 3 days.”



History of Present Illness (HPI):



Onset: 3 days ago



Location: Left eye



Duration: Continuous



Characteristics: Redness, watery discharge, mild pain, foreign body sensation



Aggravating factors: Touching the eye, exposure to dust

, Relieving factors: Artificial tears provide temporary relief



Associated symptoms: Mild photophobia, slight eyelid swelling



Prior episodes: Denies previous eye infections



Medications: Over-the-counter artificial tears



Allergies: NKDA



Past Medical History (PMH): No chronic illnesses



Surgical History (SH): None



Family History (FH): No ocular diseases



Social History (SH): Non-smoker, occasional alcohol, works in an office environment



O – Objective



Vital Signs:



BP: 118/76 mmHg



HR: 78 bpm



RR: 16/min