Dean what's up Zach here back for another week of med geeks podcast so today we're going to change it up a bit

I want to talk about the eyes you scroll through the ED tracker or your next patient at your primary care office and the chief complaint is quote-unquote eye problem.

Well I mean this could be anything from a simple hordialum stye to an emergency situation like a retro bulb bar hematoma. So let's go over some common eye

conditions that you may see in the ER urgent care, primary care office so that you can

break down the eye problems into different categories in your head. I mean I remember being in school

and like wait what's painful what's painless or wait does that terrarium cross

the limbus does the painquequelea cross the limbus?

It just became so confusing that I was just like, all right,

I'm just not, eyes aren't for me.

So let us begin.

So conjunctivitis.

We'll start with the easy one.

So it can be allergic, viral, bacterial.

Patients come in with the red eye.

If it's allergic, you'll see that cobblestoning,

that's a exam word. no discharge and there's itching.

Okay, they have a history of allergies.

Then there's viral, so it's watery discharge, most of the time both eyes, they itching and then lastly bacterial it's that

Purulent discharge likely both eyes red and there's that purulent discharge that's's the key thing here. So management, I mean the biggest thing is really like teach the patient hand hygiene. You can give artificial tears just for support and comfort, but allergic, give them an antihistamine.

I like to send them home on Claritin.

Viral, it's self-limiting.

Remember, artificial tears, that'll give them something to go home with.

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