34-year-old with red eye diagnosed by AI Doctor: Case Study

Cody's Chat with Patient

1. CodyGood to meet you! My goal is to provide you with an accurate assessment and plan. Let's start with your main concern today. Can you tell me what brings you in?
2. Patient: I have a really red and irritated eye for the past three days.
3. CodyI'm sorry to hear that. Let's get some more details. Have you noticed any discharge from your eye?
4. Patient: Yes, there's a runny liquid from my right eye, and in the morning there's some greenish stuff.
5. CodyGot it. Are you experiencing any pain or problems moving your eye?
6. Patient: No pain and I can move my eye without any issues.
7. CodyThat's good to hear. Does your eye itch or have any other sensations?
8. Patient: Yeah, it itches quite a bit.
9. CodyHave you noticed any changes in your vision?
10. Patient: Not really, but sometimes it gets blurry because of all the goop in my eye.
11. CodyUnderstood. Did these symptoms start gradually or suddenly?
12. Patient: They started suddenly.
13. CodyOn a scale of 1 to 10, with 10 being very severe, how would you rate your symptoms?
14. Patient: I'd say it's about a 7. It's pretty severe.
15. CodyHave you had any other symptoms leading up to this, such as a runny nose, coughing, or congestion?
16. Patient: Yes, I had a runny nose, itchy eyes, mild cough, and sinus congestion for about a week before this started.
17. CodyThanks for sharing that. Do you have any history of chronic illnesses, including eye diseases or asthma?
18. Patient: No, I don't have any chronic illnesses, but I do have seasonal allergies.
19. CodyAre you taking any medications regularly?
20. Patient: No, I don't take any regular medications.
21. CodyDo you smoke?
22. Patient: No, I don't smoke.
23. CodyDo you wear contact lenses?
24. Patient: No, never.
25. CodyI see. Do you have any headaches along with your eye symptoms?
26. Patient: Yes, I have a frontal headache.
27. CodyDo you have any kids, and if so, do they spend time in daycare?
28. Patient: Yes, I have two children who go to daycare.
29. CodyThank you for that information. Is there anything else you think I should know about your symptoms or medical history?
30. Patient: No, I think that's everything.

Cody's AI Summary

• You are a 34-year-old man who has been experiencing a red eye for the past three days.
• Your symptoms include runny liquid from the right eye, greenish discharge in the morning, itching, and occasional blurry vision due to the discharge.
• These symptoms started suddenly and are rated as very severe (7 out of 10).
• You have no history of chronic illness, including eye diseases or asthma, but you do have seasonal allergies.
• You had a week of preceding symptoms such as a runny nose, itchy eyes, mild cough, and sinus congestion.
• You take no regular medications, do not smoke, and have a frontal headache. You also have two children who spend time in daycare.

Top 3 AI Diagnosis List

Based on the information and conversations with Cody, we have prepared a top 3 AI Diagnosis List.

1. 1. Bacterial Conjunctivitis (60% probability)

   A bacterial infection of the eye characterized by redness, greenish discharge, and severe symptoms. Commonly associated with daycare settings.

2. 2. Viral Conjunctivitis (25% probability)

   A viral infection of the eye that can cause redness, watery discharge, and mild itching. Often arises with symptoms of an upper respiratory infection.

3. 3. Allergic Conjunctivitis (15% probability)

   An allergic reaction causing eye redness, itching, and watery discharge. Generally associated with a history of allergies and other allergic symptoms like sinus congestion.

Review by Dr Albert DiPiero

These symptoms are consistent with conjunctivitis (pink eye), a common condition that causes the white part of the eye to appear pink or reddish. The sudden onset and significant discharge, including the greenish color, strongly suggest a diagnosis of bacterial conjunctivitis.

1. 1. Bacterial Conjuntivitis (70% probability)

   Bacterial conjunctivitis is likely due to the sudden onset, greenish discharge and severe symptoms. The environment, having children who go to daycare, aligns with common transmission vectors for bacterial conjunctivitis, aligning with the patient's history.

2. 2. Viral Conjuctivitis (20% probability)

   Viral conjunctivitis is a consideration, given the patient's recent upper respiratory symptoms. However, the greenish discharge makes a bacterial cause more likely.

3. 3. Allergic Conjunctivitis (10% probability)

   Allergic conjunctivitis could be considered due to the itching and history of seasonal allergies, but the presence of greenish discharge lessens this likelihood.

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