Man with blood in the eye

Man with blood in the eye

This image was taken of a 35-year-old man who presented to the urgent care center with blood in the anterior chamber of his eye after he was hit in the eye with a baseball. He bled from his nose, and his right eye swelled shut because of eyelid edema. Initial nasal hemorrhage was controlled, but he was referred to the emergency department because of pain in the inferior orbit. View the image taken (Figure 1) …

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Clinical Challenge: December, 2010

In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of dermatologic conditions that real urgent care patients have presented with. If you would like to submit a case for consideration, please email the relevant materials and presenting information to [email protected] The patient is a 16-year-old boy who presents with local swelling of both eyelids. There is no limitation in the range of motion of either eye, however. …

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Patient with recurring sharp pain in left eye

Patient with recurring sharp pain in left eye

The patient is a man who presents to the urgent care center after waking in the morning with a sharp pain and a feeling of \”something grainy\” in his left eye. Upon examination, you find diffuse redness of the sclera and conjunctiva, as well as tearing. Additionally, the patient appears photophobic. You are unable to assess visual acuity because he has left his contact lenses out and does not have glasses. Fluorescein examination reveals no …

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