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A 28-Year-Old Kindergarten Teacher Complains of a Gritty Sensation and Discharge

question 388

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A 28-year-old kindergarten teacher complains of a gritty sensation and discharge from the right eye for 3 days.  She also has rhinorrhea, mild sore throat, and low-grade fever of 37.9 C (100.3 F) .  The symptoms began a week after classes started in the fall.  Her medical history is significant for genital herpes and endometriosis.  Eye examination shows mild injection and granular appearance of the tarsal conjunctiva of the right eye with profuse watery discharge.  Nasal mucosa is normal, and the pharynx has mild erythema without exudates.  Which of the following is the most appropriate next step in management of this patient?


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