Helene Tigchelaar, MD

A 13-year-old boy was brought to the emergency department (ED) with a generalized itchy rash of 2 days' duration. For the past 3 days, he had dry, itchy eyes with a purulent discharge (Figure 1) and nonbilious emesis 2 or 3 times per day, with some blood streaks in the vomitus on the third day of illness.

A 4-day-old girl was brought to the emergency department (ED) for evaluation of a copious discharge from the right eye with associated swelling and redness of the eyelid (Figure 1). The discharge began 2 days earlier and had become profuse and yellow-green. Chemosis and injection of the conjunctiva of the right eye were also noted (Figure 2).

A 12-year-old African American boy presented to the emergency department with a painless swelling on the left side of his head that had gradually progressed over a month. There was no history of pain, trauma, or fever. Findings from a review of all other systems were normal.