HPI: 19-year-old male present to the student health center with c/o bilateral eye discomfort. Onset 2-3 days ago. Location, bilateral eyes, and constant in duration. Patient states both eyes feel gritty with mild to moderate amount of discomfort, describes it like sand caught in your eyes.
States no aggravating or relieving factors. Hetried OTC visine drops once yesterday at home, which temporarily improved the redness, but the gritty sensation, tearing and itching remained. States pain as 2/10.
PMH: Seasonal allergic rhinitis with springtime triggers
Allergies: NKA
Medications: Loratadine 10mg daily and fluticasone nasal spray daily, takes during spring months when nasal allergies flare.
Social: University freshman student, denies cigarettes, recreational marijuana use, and drinks 3-6 beers per weekend
FH: Adopted, does not know biological parents history.
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