Swollen Eye
UnFiNiShEd CaSe CoMe BaCk LaTeR
History of Present Illness: A woman in her 40’s with a history of only seasonal allergies and so significant family history presents to the UCC with 2 months of intermittent bilateral eye itching and discharge and one day of eye discomfort. She says her eye seems swollen today as well. No other complaints.
Vital Signs & Physical Exam:
Vital signs are normal. Exam is normal except for image below
Physical exam is otherwise normal except for
Initial Diagnostic Testing:
- CBC: normal
- Chem 7: normal
What is the most likely diagnosis?
- A) Preseptal cellulitis
- B) Allergic conjunctivitis
- C) Sty
- D) Horner’s
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
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ANSWER:
- A) Preseptal cellulitis. No redness seen
- B) Allergic conjunctivitis. No discharge seen
- C) Sty: no mass seen
- D) Horner’s: CORRECT, however no myosis noted, even in dim light
1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook
References: association with dissection
CASE CONCLUSION:
CASE LESSONS: