This is a case study. Thank you Chief complaint: my eyes itch HPI: An 11-year-old male reports a 4-day history of irrita

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This is a case study. Thank you
Chief complaint: my eyes itch
HPI: An 11-year-old male reports a 4-day history of irritation
and itching, first in the left eye followed by the right eye one
day later. Both eyes have also had a mild yellow discharge and
mattering of the eyelids, making it difficult to open the eyes in
the morning. There is minimal eye redness but no foreign body
sensation, flashes, floaters, decreased vision, or diplopia. He is
not using any drops. No environmental exposures to the eyes.
Past Ocular History: No history of eye trauma, surgery,
amblyopia, or strabismus. No history of contact lens use.
Ocular Medications: None Past Medical History: Born at term
without complications
Surgical History: None
Past Family Ocular History: No history of glaucoma, macular
degeneration, or other blinding diseases
Social History: No smokers at home
Medications: None
Allergies: None
ROS: Exposure to the common cold (neighbor friend). There is no
history of environmental allergies, recent cold, CNS, heart, lung,
GI, skin, or joint problems.
Visual Acuity: OD: 20/20 OS: 20/25
Eye: PEARRLA, pupils 4 mm equal bilaterally. EOMs intact without
nystagmus. The sclera is nonicteric with mild erythema bilaterally.
There is no drainage or crusting. Chemosis of the conjunctiva is
present bilaterally.
Case Study Questions
1. What other questions would you ask in the HPI?
2. List out your differentials with rationales.
3. What is your primary diagnosis?
4. Is there a secondary diagnosis?
5. Would you do a tonopen exam-ination for this patient?
Why or why not?
6. Would you stain this kid’s eye? Why or why not?
7. References using current APA