Keratitis Case Study

1737 Words 7 Pages
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 …show more content…
Potential risk factors that makes people susceptible to keratitis includes: Contact lens, trauma (including previous corneal surgery), use of contaminated ocular medications, and decreased immunologic defenses (Rowe et.al 2013). Sherry’s history did not make her susceptible to keratitis however; she did experience some of the symptoms such as watery eyes, blurry vision, sensitivity to light, and feeling that something is in the eye. In contrast, most of Sherry symptoms were related to her eyelids and keratitis is the inflammation of the cornea and not the eyelid. The examiner decided that the diagnosis of keratitis might be unlikely 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 &

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