Based on Sherry’s health history, the examiner decided to perform vital signs and focused physical examination of the eyes and its associated systems. Therefore, the examiner performed a physical exam of head, ears, eyes, nose and throat (HEENT). Like other parts of the physical exam, it begins with inspection, and then proceeds to palpation (Bickley & Szilagyi, 2013). After taking Sherry’s health history, her Vital signs were taken in order to find out if there is any change in her baseline, and to rule out any sign of systemic infection that might reflect on her blood pressure, pulse and temperature (Forbes, & Watt, 2015) . In addition, Sherry’s vital signs will indicate the state of her essential body functions by providing
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Many patients who present with viral conjunctivitis must have had contact with someone with conjunctivitis, a recent upper respiratory infection, or both (Azari & Barney, 2013). Viral conjunctivitis signs and symptoms are conjunctival hyperemia, watery discharge, and ocular irritation with tender and palpable preauricular nodes (Coyle, 2014). The examiner suspected viral conjunctivitis as a possible diagnosis due to the watery discharge. Upon physical examination of Sherry’s preauricular nodes, they were non tender, non-palpable, and her conjunctiva were not hyperemia. Therefore, in the absence of tender, non- palpable preauricular nodes, injected conjunctiva and unilateral onset, the examiner ruled out viral conjunctivitis in this …show more content…
Blepharitis is the inflammation of the eyelid margins that may be acute or chronic (Jackson, 2008). Blepharitis may be subdivided into anterior and posterior although there is considerable overlap and both are often present (Carlisle & Digiovanni, 2015). Staphylococcus bacteria has been associated with blepharitis which is more common in women than men (Liu, Sheha, & Tseng, 2010). Blepharitis symptoms are usually worse upon awakening as a result some people might experience frontal headache (Liu, Sheha, & Tseng, 2010). Blepharitis clinical presentation includes: itchy and burning of the eyelid margins with redness and edema, watery eyes, eyelids that appear greasy, flaking of the skin around the eyes, crusted eyelashes leading to eyelids sticking together upon awakening , mild photophobia, and foreign body sensation (Carlisle & Digiovanni, 2015; Liu, Sheha, & Tseng, 2010). The signs and symptoms of blepharitis were positive finding in Sherry’s case. For instance, she had itchy eyelids, foreign body sensation, photophobia, watery eyes, eyelids were erythematous, edematous, and greasy. Moreover, from Sherry’s health history, she complained of burning eyelids, and eyelids sticking together with crusted eyelashes upon awakening. Blepharitis are usually common in people who had past medical history of rosacea and it affects the edge of the eyelids and eyelash hair follicles (Liu, Sheha, & Tseng, 2010; Auw-Haedrich &
Many patients who present with viral conjunctivitis must have had contact with someone with conjunctivitis, a recent upper respiratory infection, or both (Azari & Barney, 2013). Viral conjunctivitis signs and symptoms are conjunctival hyperemia, watery discharge, and ocular irritation with tender and palpable preauricular nodes (Coyle, 2014). The examiner suspected viral conjunctivitis as a possible diagnosis due to the watery discharge. Upon physical examination of Sherry’s preauricular nodes, they were non tender, non-palpable, and her conjunctiva were not hyperemia. Therefore, in the absence of tender, non- palpable preauricular nodes, injected conjunctiva and unilateral onset, the examiner ruled out viral conjunctivitis in this …show more content…
Blepharitis is the inflammation of the eyelid margins that may be acute or chronic (Jackson, 2008). Blepharitis may be subdivided into anterior and posterior although there is considerable overlap and both are often present (Carlisle & Digiovanni, 2015). Staphylococcus bacteria has been associated with blepharitis which is more common in women than men (Liu, Sheha, & Tseng, 2010). Blepharitis symptoms are usually worse upon awakening as a result some people might experience frontal headache (Liu, Sheha, & Tseng, 2010). Blepharitis clinical presentation includes: itchy and burning of the eyelid margins with redness and edema, watery eyes, eyelids that appear greasy, flaking of the skin around the eyes, crusted eyelashes leading to eyelids sticking together upon awakening , mild photophobia, and foreign body sensation (Carlisle & Digiovanni, 2015; Liu, Sheha, & Tseng, 2010). The signs and symptoms of blepharitis were positive finding in Sherry’s case. For instance, she had itchy eyelids, foreign body sensation, photophobia, watery eyes, eyelids were erythematous, edematous, and greasy. Moreover, from Sherry’s health history, she complained of burning eyelids, and eyelids sticking together with crusted eyelashes upon awakening. Blepharitis are usually common in people who had past medical history of rosacea and it affects the edge of the eyelids and eyelash hair follicles (Liu, Sheha, & Tseng, 2010; Auw-Haedrich &