Download A4Medicine Mobile App
Empower Your RCGP AKT Journey: Master the MCQs with Us! 🚀
Red eye is a common presentation in primary care, encompassing a wide range of conditions from benign to sight-threatening. Effective triage of red eye requires a comprehensive and patient-centered approach to discern the underlying cause and urgency of the situation. Listening intently to the patient's entire narrative is crucial.
Clinicians should prioritize understanding the patient’s primary concern, often by directly asking, "What is your primary or number one problem?" This approach ensures that the assessment is guided by the patient's experience and symptoms, facilitating a focused and efficient evaluation. By carefully considering the onset, duration, associated symptoms, and the patient's medical history, primary care providers can determine the necessary immediacy and type of intervention, ranging from simple reassurances and topical treatments to urgent specialist referrals.
Question/Characteristic | Reasoning |
---|---|
Onset and duration | Rapid onset might indicate acute conditions (e.g., acute glaucoma, retinal detachment); chronic symptoms could suggest longstanding issues (e.g., dry eye, refractive errors). |
Unilateral or bilateral | Unilateral symptoms may point to localized conditions (e.g., foreign body, keratitis); bilateral symptoms could indicate systemic or infectious causes (e.g., allergies, viral conjunctivitis). |
Simultaneous onset if both eyes affected | Helps to differentiate between simultaneous systemic causes (e.g., allergic reaction) and sequential issues (e.g., infectious conjunctivitis... |
Try our Free Plan to get the full article.