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Home PANCE Blueprint EENT (7%) Orbital disorders (PEARLS)

Orbital disorders (PEARLS)

PANCE Blueprint EENT (7%)

NCCPA™ PANCE EENT Content Blueprint eye disorders ⇒ orbital disorders

Orbital cellulitis (ReelDx)
ReelDx Virtual Rounds (Orbital cellulitis)
Patient will present as →  a 2-year-old who arrives at the ED with a swollen and erythematous eyelid, proptosis, pain with movement of the eye, and an inability to adduct or abduct his eye.

Orbital cellulitis is a serious infection of the eye and the eye structures within the bony cavity of the face. Symptoms include swelling, redness, and pain around the eye, as well as decreased eye movement and vision.

  • Often associated with sinusitis. It occurs more often in children than adults

DX: history, clinical exam, and focused assessment of extraocular muscles

  • The imaging modality of choice for the diagnosis of orbital cellulitis is CT with contrast
  • CBC and blood culture may be standard in some settings

TX: Hospitalization and IV broad-spectrum antibiotics

Orbital cellulitis

Photograph showing orbital cellulitis

RtmaxobitinfectteethCT

A left maxillary sinusitis (dark arrow) and facial/orbital cellulitis (empty arrow)
Papilledema (ReelDx) (Prev Lesson)
(Next Lesson) Orbital cellulitis (ReelDx)
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