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A 24-year-old woman presents to the ED with bilateral red eyes. After taking a history, you examine her eyes. The patient tells you that her eyes have been watering and red for one day. There is no history of injury. You start to suspect that the patient is suffering with conjunctivitis.
Match the features of the history and examination with the possible diagnoses.
Swollen eyelids and conjunctival oedema
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Itchiness and a previous history of conjunctivitis
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Eyelids stuck together in the morning
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Wears contact lenses and is photophobic
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The patient re-attends the ED one week later as her symptoms are no better and her chloramphenicol eye ointment has run out. She also tells you that she has an abnormal vaginal discharge. Examination of her eyes reveals generalised conjunctival injection but no other abnormalities.
See if you can list two organisms that may be responsible for this treatment failure and how the patient should be managed.