A patient presents complaining of left eye discharge and eye…
A patient presents complaining of left eye discharge and eyes that were matted shut this morning. The patient denies changes in visual acuity, but states that he is afraid to put his contacts in. On physical examination you note erythematous conjunctivae and mucopurulent discharge of the left eye. The cornea is clear. Which of the following topical agents is the treatment of choice in this patient?
Read DetailsA 25-year-old male patient presents with severe pain in the…
A 25-year-old male patient presents with severe pain in the left ear with occasional foul-smelling discharge. The left cheek is swollen. The pain worsens while eating. On examination, he is febrile and has a tender swelling behind the ear. Hearing tests reveal a conductive type of deafness. What is the pathogenesis behind this condition?
Read DetailsA 35-year-old male construction worker presents to the ER af…
A 35-year-old male construction worker presents to the ER after a work-related crush injury (run over) to the lower left leg. He initially tried to walk the injury off, but he could not bear weight without pain. While being transported to the ER via ambulance, the leg began to swell and he started to lose feeling in his left foot. In the trauma room, he is reporting severe pain in the left lower leg with extreme swelling. On exam, the left lower extremity is intact with no open wounds. It is swollen and painful on palpation. Dorsalis pedis pulse is not palpable on the left. What is the most appropriate clinical intervention for this patient?
Read DetailsA 34-year-old man presented the ED after a motor vehicle col…
A 34-year-old man presented the ED after a motor vehicle collision 1 day ago. The patient had a left tibial fracture, which was repaired by orthopedics. Today, the patient began to experience severe calf pain. On physical exam, the patient has a palpable DP pulse, normal capillary refill, and decreased sensation between the first and second toes. What is the best test to make the suspected diagnosis?
Read DetailsA 45-year-old male presents to the office with a complaint o…
A 45-year-old male presents to the office with a complaint of dizziness and vertigo that occurs suddenly when he rolls out of bed in the morning. He denies previous illness or any medical problems. On physical exam you note the presence of lateral nystagmus after a few second latency period. What is your recommendation for this patient?
Read DetailsA 15-year-old male patient presents with pain and swelling o…
A 15-year-old male patient presents with pain and swelling of the left eye and the surrounding area for 3 days. He has trouble opening his eyes and has double vision. He gives a history of recurrent sinusitis, with the most recent episode 2 weeks ago. He had a sore throat 4 days ago. Oral temperature 102°F. Orbital exam reveals edema, tenderness, and conjunctival chemosis, with cellulitis of the area around the eye. What is the pathology behind this condition?
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