*NURSING > CASE STUDY > NR 511 DISCUSSION PART 1 WEEK 3 (PERTINENT INFORMATION) (All)

NR 511 DISCUSSION PART 1 WEEK 3 (PERTINENT INFORMATION)

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NR 511Discussion part 1-wk 3.docx - Date of visit A 19-year-old male freshman college student presents to the student health center today with complaints of Date of visit: October 20, 2017 A 19-ye... ar-old male freshman college student presents to the student health center today with complaints of bilateral eye discomfort. Upon further questioning you discover the following subjective information regarding the chief complaint. History of Present Illness Onset 2-3 days ago Location Both eyes Duration Constant Characteristics Both eyes feel "gritty" with mild to moderate amount of discomfort. Further describes the gritty sensation "like sand caught in your eye" Aggravating factors None identified Relieving factors None identified Treatments Tried OTC visine drops once yesterday which temporarily improved the redness but the gritty sensation, tearing and itching remained. Severity Level of discomfort is 2/10 on pain scale Review of Systems (ROS) Constitutional Denies fever, chills, or recent illnesses Eyes Denies contact lenses or glasses, has never experienced these symptoms previously. Last eye exam was "a few years ago". Denies eye injury, trauma, visual changes or dryness. Denies crusting of lids or mucoid or purulent drainage. Bilateral symptoms of +redness, +itching, +tearing + FB sensation. Ears -otalgia, -otorrhea Nose +occasional runny nose with intermittent nasal congestion, denies sneezing. History of se [Show More]

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