Mksap 15 Table Historical Clues In The Diagnosis Of The Red Eye

Front 1

Onset following use of striking tools or sharp, superficial pain

Back 1

Foreign body Inspect fornices, perform fluorescein test, and consider referral.

Front 2

Deep, aching pain; nausea; vomiting

Back 2

Acute angle-closure glaucoma Check depth of anterior chamber. Emergency referral.

Front 3

Pain with reading or photophobia

Back 3

Iridocyclitis or keratitis Inflammation confined to corneal limbus; corneal irregularity or edema. Emergency referral.

Front 4

Halos around lights or decreased visual acuity

Back 4

Keratitis, iridocyclitis, glaucoma Inflammation confined to corneal limbus; corneal irregularity or edema; or narrow anterior chamber. Emergency referral.

Front 5

Itching with mucoid or watery discharge

Back 5

Allergic conjunctivitis Diffuse conjunctival redness and other atopic symptoms.

Front 6

Upper respiratory tract infection followed by one, then a second red eye

Back 6

Viral conjunctivitis Adenovirus most common virus.

Front 7

Diffuse unilateral redness with morning crusting of eyelashes

Back 7

Bacterial conjunctivitis Pneumococci most common bacteria.

Front 8

Profusely purulent discharge in a sexually active adult

Back 8

Gonorrhea Systemic antibiotics and referral.

Front 9

Chronic red eye in a sexually active adult

Back 9

Chlamydial infection Preauricular lymphadenopathy. Systemic antibiotics and referral.

Front 10

Constitutional symptoms

Back 10

Keratitis, iritis, scleritis Consider collagen vascular diseases.