A 41-year-old bartender presents to your clinic with a 24-hour history of a red and painful left eye. She reports that a drunken customer hit her in her eye with his fist when she refused to serve him more alcohol. She reports her vision and pain getting worse over the last 6 hours. She has been treating her eye with over-the-counter drops to reduce eye redness. Explain your assessment and management to your attending.

A 26-year-old African American woman wishes to know if her birthmark is likely to become cancer. She tells you that her birthmark has not changed in size or shape since she was a teenager. What is your response to this patient?

A 45-year-old woman presents to your clinic with an extremely painful red left eye. Her medical history is unremarkable except for a history of multiple miscarriages. The left eye is shown in Figure 13.3.

A 54-year-old man presents to your clinic because he has been experiencing a progressive sensation of pressure behind his eyes that is worse on the right eye. He also tells you that he has to use artificial tears every hour. He was recently diagnosed with a rapid heartbeat that is now controlled and treated with propylthiouracil.