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A 26-Year-Old Man Comes to the Physician with Sudden Onset

question 1225

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A 26-year-old man comes to the physician with sudden onset of redness, watery discharge, and itching of both eyes.  His vision is slightly distorted from excess tearing but is not blurred.  He otherwise feels fine.  The patient's past medical history is significant for obesity, asthma, sleep apnea, and chronic back pain.  On eye examination, there is bilateral injection with granular appearance of the conjunctiva.  Mild eyelid swelling and clear discharge are also noted.  Pupils are equally round and reactive to light.  The lungs have a few scattered wheezes.  What is the most likely diagnosis in this patient?


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