Chief Complaint (CC)
A 11-year-old female patient complains of red left eye and edematous eyelids. Her mother states the child complains of “sand in my left eye.”
Subjective
Patient noticed redness three days ago. Denies having any allergies. Symptoms have gotten worse since she noticed having the problem.
VS
(T) 98.2°F; (RR) 18; (HR) 78; BP 128/82; SpO2 96% room air; weight 110 lb.
General
well-developed, healthy, 11 years old
HEENT
EYES: very red sclera with dried, crusty exudates; unable to open eyes in the morning with the left being worse than the right
Skin
CTA AP