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”

 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 order?

  • A) Epi, more antihistamines and steroids
  • B) Just Epi
  • C) Just antihistamines
  • D) Just steroids

 

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ANSWER: What should you do next?

 

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CASE CONCLUSION: