Patient: A 43-year-old male with a history of allergies

Chief Complaint: Swelling of both eyelids after blowing his nose

History of Present Illness: The patient reported that he developed swelling of both eyelids after blowing his nose earlier in the day. He denies experiencing any pain, redness, or discharge. He also reported that this has never happened to him before.

Physical Examination: On examination, both eyelids were noted to be swollen and slightly tender to the touch. No erythema or purulent discharge was observed. The eyes were otherwise normal and without any visual changes.

Diagnostic Studies: A differential diagnosis was made including allergic reactions, infections, and other inflammatory processes. To further evaluate the cause of the swelling, the patient was referred for an allergy test and a complete blood count.

Treatment: Based on the results of the allergy test, the patient was diagnosed with an allergic reaction. He was prescribed an antihistamine and was advised to avoid triggers of his allergies. He was also advised to use cold compresses on the affected eyelids to reduce swelling.

Outcome: The patient was seen for follow-up two days later and reported that the swelling had significantly decreased. He was advised to continue taking the prescribed antihistamine and to use cold compresses as needed.

Discussion: Swelling of the eyelids after blowing the nose is a relatively uncommon presentation. Allergic reactions, infections, and other inflammatory processes must be ruled out as possible causes. Proper diagnostic tests and timely treatment are important to resolve the symptoms and prevent further complications.

Diagnose Orbital Floor Fracture and
Emphysema
by Nose Blowing

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