1. The 19 years old man presented today with a bilateral eye
1. The 19 years old man presented today with a bilateral eye ache… 1. The 19 years old man presented today with a bilateral eye ache complaint triggered 2-3 days ago. Allegedly he had redness but a little progress after utilizing OTC vision, though only temporary comfort was noted in that redness, including the inflammation persisted. Eye ache is mentioned as 2/10 on the pain ranking, which is frequently defined as “gritty” or “like sand in your eyesight.” He additionally says that his eyes are itchy, including watery. The patient denies any injury to the eye, spectacles, contact, dryness, or visual changes. He denies any purulent drainage or crusting. He notices a runny nose and occasional congestion but does not sneeze.His past medical history encloses seasonal allergies that happen just in the spring and is maintained by loratadine 10 mg every day, including fluticasone nasal spray every day while peak season. His previous eye analysis was accomplished approximately a year back, and he had 20/20 vision in both eyes. The patient denies ear pain, sore throat or redness, fever, chills, difficulty breathing, or wheezing and further denies any discomfort, swelling, chest pain of the lymph node. The patient is a freshman at a college in Central Illinois and is originally from AZ.Vital sign: Temperature-97.9, Blood pressure-120/75 mmHg, Hear rate-68 bpm, Height-6’0″, Weight- 195lb. The physical examination was negative, except for the reported pale and boogie nasal turbinate and mild to moderate swelling and clear drainage. Bilateral eye diffuse conjunctival redness and rupture with reported light sensitivity. No foreign object was noted, mass, lesion, or crust on the lid, and fundoscopic examination were within normal limits. Visual acuity remains bilaterally 20/20.2. Three Different DiagnosisAllergic Conjunctivitis (H10.45)- Allergic Conjunctivitis is quite common and is caused by the reaction of IgE mast cells to atmospheres such as pollution, pollen, or additional allergen stimulants. People with allergic Conjunctivitis are usually responsible for various allergic disorders, such as environmental allergies or specific allergies to cats. The patient has a history of steady seasonal allergic rhinitis. The patient was shown bilateral eye distress, characterized as sand in his eyes and positive for foreign body feeling. The patient also noted extreme itching, including a watery eye. Allergic Conjunctivitis is expected in patients with allergic rhinitis.On physical examination, pale including boggy turbinate with diffuse redness, edematous eyelids, plus clear nasal discharge were reported. All those subjective and objective results support the diagnosis of allergic Conjunctivitis. Corresponding signs to adequately sustain that disease possesses itching, redness, and moderate or mild conjunctivitis. The redness is somewhat more pronounced than expected. (Ferreira et al.,2019 ).Infectious Conjunctivitis (10.89)- Infectious Conjunctivitis can be caused by a bacterial or viral infection and is usually unilateral or, in the case of bilateral disease, starts unilaterally and extends to other eyes within a few days. In addendum to that unilateral indication, infectious Conjunctivitis is usually associated with viral or bacterial discharge, extreme ache, itching, redness, visual disruptions, including photophobia. The causative representative for bacterial infections contains streptococci, staphylococci, and pneumococci, including herpes simplex for viral infection (Roat, 2022).Dry eye Syndrome (H04.123)- Dry eye syndrome is a disease of the eyelids, including that eye’s surface, characterized by inadequate tears production. Positive manifestations supporting the diagnosis contain extreme ache 2/10 in the patient, including sand is trapped in the eye, which involves the bilateral vision. Negative symptoms that are preventing diagnosis include lymphadenopathy. This inactivity leads to a decrease in eye lubrication, leading to dryness of the eye and incapability to cleanse and save from foreign materials like dust and pollen, which leads to a distinct dry and sharp feeling associated with this condition.3. Analyze various diagnoses utilizing physical determinations, including history, to create or debate them. Patient manifestation is associated with Both Allergic Conjunctivitis and Dry eye syndrome. The patient shows acute, bilateral manifestations, including itching, redness, watery discharge, 2/10 pain, runny nose. These symptoms are least associated with infectious Conjunctivitis as it is acute, bilateral, lack of purulent discharge, visual disturbances, and severe pain (Frings A., Geerling G., & Schargus, 2017). However, a history of allergies, lack of drug compliance, and associated rhinorrhea make acute conjunctivitis diagnosis better relevant than dry eye syndrome.4. Allergic ConjunctivitisDry Eye Syndrome Infectious Conjunctivitis.5. Allergic Conjunctivitis is often diagnosed established on a mixture of manifestations, including history. The conventional method with the use of antihistamine medications. A skin prick or serum allergy test can help determine illness methods, including specific allergens which contribute to a patient’s manifestation. Allergy testing is usually costly and, although that may be required, should be considered only after the medicine has not diminished. Diagnosis of allergic Conjunctivitis usually does not require laboratory testing (Baab, S. 2021).References,Baab, S. (2021, July 25). Allergic Conjunctivitis. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK448118/Frings, A., Geerling, G., & Schargus, M. (2017, April 28). Red Eye: A guide for non-specialists. Deutsches Arzteblatt international. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5443986/Roat, M. I. (2022, February 22). Allergic Conjunctivitis – eye disorders. Merck Manuals Consumer Version. https://www.merckmanuals.com/home/eye-disorders/conjunctival-and-scleral-disorders/allergic-conjunctivitis#:~:text=Perennial%20allergic%20conjunctivitis%20occurs%20year,(allergen)%20is%20not%20known. Paiva Ferreira LKD;Paiva Ferreira LAM;Monteiro TM;Bezerra GC;Bernardo LR;Piuvezam MR; (n.d.). Combined allergic rhinitis and asthma syndrome (CARAS). International immunopharmacology. https://pubmed.ncbi.nlm.nih.gov/31255882/The web’s free 2022 ICD-10-CM/PCS Medical Coding Reference. 10. https://www.icd10data.com/ All your differentials are possible, though you could have listed “Viral Conjunctivitis ” and “Bacterial Conjunctivitis” as two separate diagnoses. While not impossible, this patient is not likely to have dry eye syndrome. “Syndromes” usually imply longstanding problems and this patient’s complaints are more acute.?Can you please explain what should I answer this ?Health Science Science Nursing NURSING NR-511
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