Painful facial blisters, fever, and conjunctivitis
The Journal of Family Practice. 2018 September;67(9):573-575
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Following Tx for facial blisters, our patient returned with what appeared to be viral conjunctivitis. Further evaluation revealed a missed tip-off to the proper Dx.
Viral keratitis is characterized by photophobia, foreign body sensation, and watery discharge. A faint branching grey opacity may be seen on penlight exam, and dendrites may be seen with fluorescein.
Scleritis involves severe, boring pain of the eye in addition to photophobia and headache. It is usually associated with systemic inflammatory disorders.
Subconjunctival hemorrhage is asymptomatic and occurs following trauma.
Cellulitis manifests following trauma with a deep violet color and marked edema.
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