unilateral scleral injection of 16month old. 5d Hx. No disch | Figure 1

unilateral scleral injection of 16month old. 5d Hx. No discharge. No PMHx. No allergies. No meds. PEARL.

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#Subconjunctival #haemorrhage cause unknown

A 26-year-old female, known case of allergic rhinitis for 2 years, presented to ER with acute onset bilateral eye itching and watering for 30 minutes duration. The symptoms began after eating cake and initially involved the right eye, followed by the left, associated with a sense of heaviness in the eyes. Subsequently, she developed swelling over both eyes, redness, restlessness, and difficulty opening the eyes. There was no history of fever, chest pain, shortness of breath, palpitations, seizures, loss of consciousness, limb weakness, slurring of speech, vomiting, throat pain, trauma to the eyes, wheezing, facial swelling, or dyspnea. On examination, vitals were stable (BP 128/78 mmHg, PR 74/min, RR 16/min, SpO₂ 100% on room air). Ocular examination revealed bilateral conjunctival congestion with chemosis and edema, associated redness, and watering from both eyes. Pupils were bilaterally dilated but reactive to light. No corneal ulceration was noted. Oral examination was normal. Provisional dx: Acute allergic conjunctivitis secondary to food allergen exposure. Was given Injection Avil & Hydrocortisone, and symptoms started to improve.

update to previous case. 13months old girl, parents supplied picture. Now after 2 days of steroid cream, seems worse. Probably needs abxdrops?

conjunctivitis- related to exposure to a dog

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?