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Issue: March 1, 2008
Case:Eye Inflammation and Infection
Taken from
Med-Challenger EM Career
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Question:
A mother brings in her child for evaluation of a bilateral
purulent eye discharge, photophobia, and congestion (see image). On exam, you palpate enlarged
pre-auricular lymph nodes. Which of the following statements is CORRECT?
- The patient's congestion is most likely due to an upper respiratory infection with respiratory syncytial virus (RSV).
- The patient is most likely suffering from vernal conjunctivitis.
- Fluorescein staining might reveal corneal punctate lesions.
- Lymphadenopathy supports a diagnosis of bacterial conjunctivitis.
Answer:
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