Case studies.....part of a medical student's life.....
Here is a chance for you medical students/doctors/anyone else to practise your diagnostic skills.
Firstly, this is a real case study. Patient is......yours truly.
(let's skip the personal details part)
Presenting complaint:
Intense pain on the left eye
History of presenting complaint:
Onset: Left eye slightly red ( but noticeable) starting a few days ago.
Acute pain developed on left eye one day ago.
Characteristic of pain: Pain is pressing type of pain, like something is pressing on the eyeballs.
Pain occurs intermittently at regular intervals (too frequently to count), each episode lasting for at least half an hour.
Aggravating factor: exposure to sunlight
Relieving factor: rest, closing of eyes
Have you done anything about it? Went to see a GP last night. He suspected conjunctivitis and gave me gentamycin teardrops.
Progression: Slight improvement today, intense pain still when exposed to sunlight
Does it affect your daily routine? Yes, I cannot concentrate on studying!!
Besides pain, any other symptoms? No, not even itch. I thought conjunctivitis would cause eyes to itch.
Any worries? Worried that it might be something more serious than conjunctivitis. Suddenly, the gift of sight, which has always been taken for granted, becomes all the more precious.
What is the diagnosis?
I myself do not know actually. Does a GP really know much? What if he had misdiagnosed me?
Should I go to see an eye specialist?
9 comments:
wow...then my opthalmology knowledge will come handy!
well, i guess got to see if it's red or not, if it's swollen, the Intraocular pressure got increase or not? or vision compromised?
any trauma lately?
kekeke...
hope u get well soon!
Jesus heals!
well my knowledge is limited so i cant comment blek.
anyway my advice is: if the problems persists longer than normal, then go see an eye specialist. dont leave it for too long okie coz sight is definitely precious!
gentamicin!!!! Hey, Ailing, never hurts to go to an eye specialist.
lynnwei:- yep, slightly red. And when I told the doctor it felt like there was pressure on my left eye, he commented that I wouldn't know the pressure of the eye, have to use a special type of machine available only in specialists.
Vision not compromised. No trauma lately.
zzzyun:- yep, if this problem persists over the next few days, I think I'll have to go see a specialist.
lynnx01:- gentamicin- Prof Rohini's favourite drug. Hehe.
hhm...well, in opthalmology, we study this technique, it's called digital tonometry...just told ur 2 index finger and press press like a few times...on ur eyeball (with ur eyeclosed) near the arch of the orbit...u can feel it..compare with both eyes..and u can see the difference..
but of coz use the real instrument better...but tat one need to be in hosp or clinic..this one is one of our skills that we have to know..
hhmm...mayb it's infection..continue ur eyedrop! and pray for healing!
Yeah, don't you feel proud you're using gentamicin?
lynnwei:- yeah, it's most probably just an infection- and I'll thank God that it's nothing more serious- and pray for healing! :D
lynnxuan:- lol...okie.... :P
how are u feeling today? better d??
Hey lynnwei:- actually my eye still hurts (although less than before) and my eyelids feel heavy. But hopefully it'll get better soon!
Thanks for your concern ya :)
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