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Common causes of bacterial conjunctivitis include

Patients diagnosed with infectious mononucleosis 

A 34 year old female very busy real estate agent presents with nasal congestion, cough, itchy skin, watery eyes and sneezing for the past 2.5 weeks. She denies fever, chills, sore throat, nausea, vomiting or diarrhea. She has not taken any medication except for tylenol and ibuprofen which were not helpful for her. On exam, you note transverse nasal creases, nasal mucosal swelling with clear discharge, non-tender sinuses, erythematous tonsils bilaterally with post nasal drip. Her vital signs are normal. She denies smoking, alcohol and drugs.  What is the best tretament for her?

A 65 year old patient presents to the office for right sided headache on and off for the past several days. The patient notes that he also has double vision over the right eye and tenderness in his jaw when he is eating. He denies cough, congestion, runny nose, watery eyes.  On exam, you note tenderness over the right temporal side of his face but no lesions/rash, edema or erythema. His vision is 20/20 corrected with glasses. Based on this information, what is the most likely diagnosis?

The NP has prescribed isotretinoin to a 17 year old female patient with severe acne. What are the instructions to the patient with this medication?

A 31 year old female presents to the office for complaints of fatigue and dry skin.  Her symptoms have been present for over 3 months. She denies history of anxiety and her GAD score is 2. She also denies depression (PHQ9=2).  She is up to date on her pap. On review of her chart, you note she has gained 6 lbs .  Physical Exam: T 99.0, HR 88, BP 132/88 You have checked labs on her and these are the results.  WBC-8,300 Hb=14.1 TSH =9.3 (normal 0.300-4.2) Free T4= 0.40 (normal (0.60-1.70) What is your next course of action?

A 37 year old male presents to the office with a painful “bump” on his left upper eyelid.  A visual acuity check shows normal vision. On inspection of the eyelid, he has a small palpable lump on his left upper eyelid that is tender with edema an erythema. There is no drainage in the eye. Remainder of exam is normal. What are your recommendations for the patient?

A 22 year old female presents to the office for complaints of rhinorrhea, sneezing, and watery eyes  for the past 3 weeks. She reports a cough and congestion that started 2 weeks ago. On exam you note that vital signs are stable, nares are swollen with watery discharge. The remainder of her exam is normal. What is the best treatment for her symptoms?

A 22 year old day care worker presents to the office with bilateral red eyes for the past 2-3 days. She reports that it started with the left eye and then moved to the right eye. She notes that several kids in the daycare have the same symptoms.  She indicates that her eyes are very itchy and that she has been experiencing a watery discharge from the eyes as well. She denies any yellow/green discharge, crusting or matting of the eyes or lids. She denies changes in vision, double vision or blurry vision. On examination you note a normal fundoscopic exam, PERRLA, EOMI and tarsal conjunctiva have a bumpy appearance. What are your recommendations for treatment?