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Challenger/Rakel Career
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Issue: August 15, 2007
Case: Inflammation and Infection
Taken from
Challenger/Rakel Career
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Question:
A mother brings in her
child for evaluation of a bilateral purulent eye discharge,
photophobia, and congestion (see illustration at right). 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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