From Refs 1516

Patient Encounter 2

A 40-year-old woman presents complaining of irritation, redness, and stickiness of the right eye for the past 48 hours. Today she woke up with the lids of the right eye stuck together and it took a warm washcloth to get her eye open. Examination reveals a whitish discharge from the right eye and a redness of the left eye. She has worn contact lenses for 6 years.

What is the probable diagnosis?

On physical assessment, how do you differentiate between bacterial, hyperacute bacterial, viral, and allergic causes?

What is a reasonable treatment regimen for her?

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