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So what do you think?
I am in nurse practitioner school and have to give 3 diagnoses for this patients case study and could not figure it out
why do you think these are the diagnoses for this patinet?
I thought this might have to do with the patient smoking history you dont think this is related?
So what do you think about the smoking?
what do you think about the smoking do you think there is no relation to this problem?
So what would be your first choice for this patient and then your second choice and your third choice please list them 1-3 and say why for each diagnosis. Thanks so much for all your help
what do you think?
1. Corneal foreign body causing a corneal abrasion and/or corneal ulcer (infection): deep, severe, and achy pain, associated with a red eye are signs of significant inflammation in the eye. The fact that he is a machinist not wearing protective eye wear at work put him the most at risk for this problem and therefore this would be the most common. The fact that the history says he denies any “work related exposures” is misleading because is very job as a machinist makes him a risk for a high-velocity metallic projectile penetrating his cornea and causing this or worse, such as an intraocular foreign-body causing endophthalmitis (overwhelming eye infection).
2. Uveitis: deep, severe, and achy pain, associated with a red eye are signs of significant inflammation in the eye and uveitis is the most common intraocular inflammation which can cause this. Most of the time, anterior uveitis does not cause significant vision loss, but a mild decline can be noticeable.
3. Conjunctivitis: deep, severe, and achy pain, associated with a red eye are signs of significant inflammation in the eye. Most cases of conjunctivitis do not get this severe causing vision loss and this severity of symptoms, though some fulminant cases can cause this. However, there was no note of discharge, so this is much less likely.
thanks so much!
My pleasure. Good luck.
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