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993 posts on clinical medicine, epidemiology, research methodology, statistics and code — in English and Thai. Filter by category and language, or search.
Acute Bacterial Conjunctivitis: Clinical Approach and Treatment Guide
1. Clinical Definition Acute bacterial conjunctivitis = superficial infection of the conjunctivaTypical features: Red eye Mucopurulent discharge (sticky eyelids in morning) Mild irritation (NOT severe pain) Usually normal vision 2. Determine Severity First (CRITICAL STEP) Before prescribing anything, classify: ✅ Uncomplicated conjunctivitis (OPD case) ALL must be present: No vision loss No severe pain No photophobia No corneal involvement No contact lens–related keratitis suspicion No recent...
Red Eye in Clinical Practice: When You MUST Consult an Ophthalmologist
Introduction Red eye is one of the most common presentations in outpatient and emergency settings. Most cases are benign (e.g., conjunctivitis), but missing a vision-threatening condition can lead to permanent blindness. As a new doctor, your job is not to diagnose everything — your job is to recognize danger early and refer appropriately. 🧠 Step 1: Think Simple First Ask yourself: 👉 “Is this just conjunctivitis, or could this destroy vision?” Most benign cases: Mild pink/red eye Watery...