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Sunday, June 14, 2020

MDM - Stye (Hordeolum)


[##]-year-old [male/female] presents with history and exam consistent with stye (hordeolum) to the [right/left upper/lower] eyelid.

Initial considerations in this patient included stye, orbital and periorbital cellulitis, allergic reaction, chalazion, blepharitis, dacrocystitis, and conjunctivitis from allergic, bacterial and viral etiologies among others.

Patient presented with erythema and swelling to the [right/left upper/lower] eyelid [with/without] significant surrounding erythema.  Patient noted to have pustule to the affected eyelid consistent with stye.  Patient noted to have no evidence of associated purulent drainage from the affected eye.  Patient noted to have no associated visual deficits.

Prior to discharge, we discussed return precautions, specifically for evidence of progression to periorbital or orbital cellulitis, treatment with warm compresses [and topical antibiotic ointment/systemic antibiotics due to associated erythema suggestive of early periorbital cellulitis], and follow up with [primary care provider/ophthalmology] within [2-3 days/1-2 weeks], and the patient demonstrated understanding and agreement with this plan.

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