Triage: Eye pain and blurry vision
History of Present Illness: A woman in her late 40’s with a history of eye problems comes to the ED for a week of gradually worsening eye pain and blurry vision on the left. She has seen an ophthalmologist in another state for “eye inflammation” and also has a history of cataract surgery.
Vital Signs: HR: 70, RR: 16, BP: 110/85, SpO2: 99%
Physical Exam: Vision is hand motion on left, 20/100 on the right. Eye is shown below
What should you do next?
- A) topical steroids and discharge with optho f/u
- B) call Ophtho to come to the ED
- C) admit for IV ABX
- D) admit for surgical therapy
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ANSWER: What should you do next?
- A) topical steroids and discharge with optho f/u
- B) call Ophtho to come to the ED
- C) admit for IV ABX
- D) admit for surgical therapy
CASE CONCLUSION: Case discussed with ophthalmology who recommended steroid eyedrops close ophthalmology follow-up. Diagnosed with idiopathic autoimmune uveitis and started on Humira.