I HUMAN CASE ANALYSIS – WEEK #4 FOR A 20-YEAR-OLD MALE PRESENTING WITH AN EYE PROBLEM CLASS 6512 – ADVANCED HEALTH ASSESSMENT OUTPATIENT CLINIC WITH LABORATORY CAPABILITIES LATEST UPDATE

I HUMAN CASE ANALYSIS – WEEK #4 FOR A 20-YEAR-OLD
MALE PRESENTING WITH AN EYE PROBLEM CLASS 6512 –
ADVANCED HEALTH ASSESSMENT OUTPATIENT CLINIC
WITH LABORATORY CAPABILITIES LATEST UPDATE




Reason for Encounter:
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Evaluation of eye pain and redness.
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Patient Demographics:
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• Age: 20 years
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• Sex: Male
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• Height: 5’9” (175 cm)
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• Weight: 165 lbs (75 kg)
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• BMI: 24.4 kg/m²
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,Case Mode: Learning mode
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Case Location: Outpatient primary care clinic with laboratory and ophthalmic
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exam capabilities
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Attempts Allowed: Unlimited g; g;




2. Chief Complaint (CC) g; g;




“My right eye is red and painful, and my vision is blurry.”
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3. History of Present Illness (HPI) g; g; g; g;




The patient is a 20-year-old male presenting with a 2-day history of right eye
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g; redness, pain, and blurred vision. Symptoms began abruptly and have
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progressively worsened.
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Eye symptom characteristics:
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• Location: Right eye g; g;



• Onset: Sudden, 48 hours ago
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• Duration: Continuous g;



• Quality: Sharp, gritty sensation with deep aching pain
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• Severity: 6/10 g;



• Radiation: Localized to the eye and periorbital area
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• Vision changes: Mild blurred vision and photophobia
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• Discharge: Watery discharge, no purulence g; g; g; g;

, • Laterality: Unilateral g;




Associated symptoms: g;




• Sensitivity to light g; g;



• Excessive tearing g;



• Mild headacheg;




Negative symptoms:
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• No fever
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• No nausea or vomiting
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• No diplopia
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• No trauma
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• No foreign body sensation
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Risk factors:
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• Contact lens use (daily soft lenses)
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• Admits to sleeping in contacts occasionally
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• Poor lens hygiene reported
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Aggravating factors: g;




• Bright light g;



• Eye movement
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Relieving factors:
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• Keeping eye closed g; g;



• Avoiding light g;