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A 7-Year-Old Boy Is Brought to the Emergency Department by His

question 818

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A 7-year-old boy is brought to the emergency department by his parents due to left eye swelling and redness. The patient has had left eye pain for 2 days and the pain worsened today. He has no symptoms in his right eye. He has allergic rhinitis, for which he takes intranasal steroids. The patient developed sinusitis approximately 3 weeks ago and was treated with amoxicillin-clavulanate. He has no other medical conditions and has had no surgeries. The patient's mother was diagnosed with left leg deep vein thrombosis after a recent transatlantic flight. Temperature is 39.2 C (102.5 F) , blood pressure is 102/70 mm Hg, pulse is 94/min, and respirations are 18/min. The left eyelid is erythematous, tender, and swollen. The conjunctiva is hyperemic. Movement of the left eye causes pain. Visual acuity and pupillary reaction are normal bilaterally. Purulent mucus is draining from the nose, and nasal turbinates are swollen and erythematous. Examination of the right eye is unremarkable, and facial sensation is intact. Item 1 of 3 Which of the following findings is most concerning in this patient?

Definitions:

Carl Rogers

An influential American psychologist who founded the person-centered approach to therapy, emphasizing the importance of self and the potential for personal growth.

Approach-oriented

A behavioral tendency to move towards positive or desirable outcomes or stimuli rather than avoiding negative ones.

Big Five

A framework describing five major aspects of human personality, which include Openness, Conscientiousness, Extraversion, Agreeableness, and Neuroticism.

Extraversion

A personality trait characterized by sociability, talkativeness, and a high level of engagement with the external world.