lOMoARcPSD|3013804
NR 511 Case Study PT 1 Week 3
Advanced Physical Assessment (Chamberlain
University)
, lOMoARcPSD|3013804
Patient A.A, is a 19 yo female with a CC of bilateral eye discomfort that started 2-3 days ago. Patient
states eyes feels gritty, sand-like feeling with mild to moderate amounts of discomfort; additionally, pain
isn’t relieved with any form of treatment. Eye gtts administered x1 dose with temporary relief. No
change in redness, gritty sensation, tearing, or itching.
3 Differential Diagnosis
1. Allergic conjunctivitis
2. Dry eye
3. Viral conjunctivitis
The pathophysiology of allergic conjunctivitis is a benign disease which produces conjunctival edema,
itching, tearing, redness, and possible stringy discharge; at times, the person may experience photophobia
and visual loss. Allergic conjunctivitis may occur suddenly, or it can occur seasonally or perennially with
the changing of the weather.
The pathophysiology of dry eye can stem from a hereditary disorder, systemic disease, or systemic drug,
furthermore, dry eye is more common in females and the chances of getting dry eye increases with age
(Duncan, Parikh, Seitzman, & Riordan-Eva, chapter 7, 2020).
Viral conjunctivitis, as Fromstein explains, (2018) stems from adenovirus which may produce signs such
as lid edema lymphadenopathy, photosensitivity, fever, malaise, or eye redness (p.14).
Diagnosis # 1: Allergic conjunctivitis is my #1 differential diagnosis and should be ruled out in a
patient presenting with bilateral eye discomfort to prevent a reduction in activities of daily living or
possibly vision loss if left untreated.
Pertinent positive findings: Bilateral orbital itching. Mild to moderate discomfort, watery discharge,
conjunctiva redness, light sensitivity, clear nasal drainage, with pale & boggy nasal turbinates.
Nonpalpable preauricular lymph nodes.
Pertinent negative findings: No cough or sneezy. Non-exposure to a person or item that is positive with
a known active viral infection. Watery discharge usually doesn’t occur in allergic conjunctivitis.
NR 511 Case Study PT 1 Week 3
Advanced Physical Assessment (Chamberlain
University)
, lOMoARcPSD|3013804
Patient A.A, is a 19 yo female with a CC of bilateral eye discomfort that started 2-3 days ago. Patient
states eyes feels gritty, sand-like feeling with mild to moderate amounts of discomfort; additionally, pain
isn’t relieved with any form of treatment. Eye gtts administered x1 dose with temporary relief. No
change in redness, gritty sensation, tearing, or itching.
3 Differential Diagnosis
1. Allergic conjunctivitis
2. Dry eye
3. Viral conjunctivitis
The pathophysiology of allergic conjunctivitis is a benign disease which produces conjunctival edema,
itching, tearing, redness, and possible stringy discharge; at times, the person may experience photophobia
and visual loss. Allergic conjunctivitis may occur suddenly, or it can occur seasonally or perennially with
the changing of the weather.
The pathophysiology of dry eye can stem from a hereditary disorder, systemic disease, or systemic drug,
furthermore, dry eye is more common in females and the chances of getting dry eye increases with age
(Duncan, Parikh, Seitzman, & Riordan-Eva, chapter 7, 2020).
Viral conjunctivitis, as Fromstein explains, (2018) stems from adenovirus which may produce signs such
as lid edema lymphadenopathy, photosensitivity, fever, malaise, or eye redness (p.14).
Diagnosis # 1: Allergic conjunctivitis is my #1 differential diagnosis and should be ruled out in a
patient presenting with bilateral eye discomfort to prevent a reduction in activities of daily living or
possibly vision loss if left untreated.
Pertinent positive findings: Bilateral orbital itching. Mild to moderate discomfort, watery discharge,
conjunctiva redness, light sensitivity, clear nasal drainage, with pale & boggy nasal turbinates.
Nonpalpable preauricular lymph nodes.
Pertinent negative findings: No cough or sneezy. Non-exposure to a person or item that is positive with
a known active viral infection. Watery discharge usually doesn’t occur in allergic conjunctivitis.
