5.0 of 4 Ratings
A 67-year-old man presents to the emergency room with eye pain. He notes that his right eye has become progressively more painful over the past day and that his vision has been worsening. He had cataract surgery in the same eye 2 weeks ago. He has a past medical history of diabetes, hypertension, obesity, and erectile dysfunction. He is currently sexually active and engages in anal, oral, and vaginal intercourse. His temperature is 100°F (37.8°C), blood pressure is 164/104 mmHg, pulse is 85/min, respirations are 12/min, and oxygen saturation is 98% on room air. Visual acuity is 20/400 in the affected eye. Physical exam is performed as seen in Figure A. Which of the following is the most appropriate treatment for this patient?
Intravitreal ceftazidime and amikacin
Intravitreal vancomycin and ceftazidime
IV ceftriaxone and topical erythromycin
IV vancomycin and amikacin
IV vancomycin and piperacillin-tazobactam
Select Answer to see Preferred Response
A 77-year-old woman presents with pain and decreased vision in her right eye. She states that it started yesterday and has been rapidly worsening. Her temperature is 99.0°F (37.2°C), blood pressure is 133/81 mmHg, pulse is 88/min, respirations are 15/min, and oxygen saturation is 98% on room air. Physical exam is notable for the finding in Figure A. Which of the following is most likely to be found in this patient's history?
Chronic steroid use
Recent viral illness