PANCE Blueprint EENT (7%)

Orbital disorders (PEARLS)

NCCPA™ PANCE Eyes, Ears, Nose, and Throat Content Blueprint eye disorders ⇒ orbital disorders

Orbital cellulitis (ReelDx) Infection of orbital muscles and fat behind the eye (periorbital = infection only of skin)

  • Decreased extraocular movement, pain with movement of the eye and proptosis, signs of infection
  • Often associated with sinusitis. Occurs more often in children than adults - ages 7-12 y/o
  • Decreased vision is a rare manifestation of orbital cellulitis

DX: CT Scan of orbits (confirmatory)

  • Focused assessment on extraocular muscles
  • CBC and blood cultures in some settings

Tx: Hospitalization and IV broad-spectrum antibiotics (vancomycin) 

Papilledema (ReelDx) (Prev Lesson)
(Next Lesson) Orbital cellulitis (ReelDx)
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