Case 3
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Question 1 of 2
1. Question
A 55-year-old woman attends the ED with a painful red eye for the last 16 hours. There is no history of injury but she has a past history of mild rheumatoid arthritis which is well controlled with non-steroidal anti-inflammatory agents. After taking a history you examine the patient.
Match the possible findings on examination to the likely clinical diagnosis in each case below.
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- Anterior uveitis
- Episcleritis
- Acute angle closure glaucoma
- Herpes simplex keratitis
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Flare and inflammatory cells in the anterior chamber
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Localised conjunctival injection
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Cloudy anterior chamber with fixed, mid-size pupil
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Uptake of fluorescein on the cornea in a branching pattern
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Question 2 of 2
2. Question
You remain uncertain whether the patient is suffering with scleritis or episcleritis and realise the importance of differentiating between the two conditions.
See if you can describe a further test you could perform which would aid your decision and what the findings are in scleritis and episcleritis.
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