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Ophthalmology
infectious conditions
hordeolum
A 28-year-old woman presents to an outpatient clinic complaining of a painful, swollen upper eyelid that has persisted for 5 days. She reports a history of similar, self-resolving lesions in the past. On examination, there is a localized, tender, erythematous nodule approximately 5 mm in diameter at the base of several eyelashes on the right upper eyelid, with a small central pustule. Visual acuity is 20/20 in both eyes, and extraocular movements are intact. Given the clinical presentation, what is the most appropriate initial management strategy, and what potential complications should be discussed with the patient?
| Lab Parameter | Value | Reference Range |
|---|---|---|
| White Blood Cell (WBC) Count | 9.5 x 10^9/L | 4.0-11.0 x 10^9/L |
| C-reactive protein (CRP) | 3.0 mg/L | <5.0 mg/L |
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