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Question
A 70-year-old man presents to the clinic with pain and swelling of the right upper lid. He feels a small bump in the upper eyelid that is tender to palpation. He denies fever, changes in vision, or diplopia. Examination shows a focal swelling of the right upper lid with overlying erythema and a small opening near the lid margin; the visual acuity is intact and extraocular movements are full. Which of the following treatments is MOST appropriate in the initial stage? A 70-year-old man presents to the clinic with pain and swelling of the right upper lid. He feels a small bump in the upper eyelid that is tender to palpation. He denies fever, changes in vision, or diplopia. Examination shows a focal swelling of the right upper lid with overlying erythema and a small opening near the lid margin; the visual acuity is intact and extraocular movements are full. Which of the following treatments is MOST appropriate in the initial stage? Incision and curettage Topical erythromycin ointment applied to the lid Warm compresses with lid massage four to six times daily Oral macrolides.
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