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Orbital cellulitis

  • Labs

    • CBC
    • orbital CT
  • Tx

    • cefuroxime 50 mg/kg IV q8 hr + vancomycin if MRSA
    • optho consult
  • Sx

    • unilateral periorbital pain, edema, erythema, warmth.
    • presence of concerning symptoms such as vision changes, pupil abnormality, EOM defect
  • Ddx

    • acute glaucoma, abscess
  • HPI

    • onset
    • quality: pain, edema, erythema, warmth, drainage
    • quantity
    • alleviation
    • aggravation
  • ROS

    • fever
    • vision changes
    • headache
  • Px

    • vitals: fever, HR
    • vision (gross)
    • pupils
    • EOM
    • lid, periorbital: edema, erythema, rash, vesicles, warmth, tenderness
    • eye: conjunctivitis, drainage, vesicles
    • sinus tenderness
    • lymphadenopathy

  • Print | Citations

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