What if man with a history of asthma and ezcema is examined


Problem: A 35-year-old man with a history of asthma and ezcema is examined at the primary care clinic with eye problems for the last 5 hours. He states that he was walking in the mall earlier when his wife wanted to try on makeup and perfume. She took him into the store called Sephora. Upon exposure to the perfume chemicals, he states that both of his eyes have felt itchy, swollen, and red for the past 5 hours with a persistent watery discharge. He denies any pain to the eyes, vision problems, or problems with pupillary reaction. The patient's temperature is 98.3 degrees Fahrenheit, HR is 80, RR is 16, and BP is 110/70. Physical exam of the left eye reveals the picture shown below. Which of the following is the next best step in management? A. Cold compresses B. Acyclovir (Zovirax) C. Topical azithromycin ointment (Zithromax) D. Antihistamines

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