Child with red eye Flashcards
1
Q
Key history in child with red eye
A
Onset, location, duration, affecting one or both eyes
Eye discharge, itching, pain, photophobia, tearing
Other symptoms (constitutional, dermatologic, GI, cardiac, pulmonary, renal, pelvic, rheumatologic)
Exacerbating or alleviating factors
Medications
Sick contacts
Day care
Immunizations
Hx of prior episodes
2
Q
Key physical exam in child with red eye
A
Vital signs, HEENT exam
3
Q
3 yo F with 3-day Hx of “pink eye”
+ began in right eye but now involves both eyes
+ mucoid discharge, itching and difficulty opening eyes in morning
+ mother had flu last week
+ Hx of atopic dermatitis and asthma
A
Bacterial conjunctivitis Viral conjunctivitis Keratitis Seasonal allergies Uveitis
Physical exam Ophthalmoscopic eye exam CBC Electrolytes Discharge cultures Slit lamp exam
