Solved

A 13-Year-Old Boy Is Brought to Clinic by His Parents

question 1095

Multiple Choice

A 13-year-old boy is brought to clinic by his parents due to copious, purulent discharge from his right eye. The patient's eye was crusted shut this morning. His father was able to open the eye by wiping it with a damp washcloth. The patient went to school but was sent home by the school nurse. He has not had ocular pain, visual changes, or fever. He lives at home with his parents and older sister, none of whom have similar symptoms. The patient has mild myopia and wears contact lenses. He takes loratadine daily for seasonal allergies. Vital signs are within normal limits. Examination shows conjunctival erythema and yellow exudate in the right eye. The conjunctiva of the left eye is also erythematous, but there are no secretions. Visual acuity testing with the patient's contacts removed shows 20/80 vision in both eyes, consistent with his well-child examination at age 12. The parents administer the treatment as prescribed. After 2 days of treatment, the initial symptoms have not improved, and the child now says, "The light really bothers me, and it feels like there is something really painful in my eye." Which of the following is the most appropriate next step in treatment?

Definitions:

Cost of Capital

The rate of return that a company must pay after accounting for the cost of all sources of financing: debt, equity, and any other financing sources.

Debt Costs

The total expenses associated with borrowing money, including interest payments and fees.

Financial Risk

The possibility of losing money on an investment or business venture, including the risk of not receiving anticipated returns.

Retained Earnings

The portion of net income not distributed as dividends but retained by the company to be reinvested in its core business or to pay debt.