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Grand Rounds 114 - December 2008

©Richard Hom

History This is a 21 year old male of international heritage who reports the onset of a small growth on the left lower lid of 1 day.  This presentation is five days later and was referred by the Emergency Room as a "same-day" appointment.  No history of trauma. The fellow eye is undisturbed.
OBJ OU 20/20++. Body Temperature 99.8F  Just from these images, what is your working diagnosis?

A/P What is your call?

Dr. Hom's Response - The patient did have a small hordeolum. Another provider, not trained in the eye, tried to debride and it became infected. Oral antibiotics resolved this in a month.

 

 

©Richard Hom

 

 

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