PANCE Blueprint EENT (7%)

Orbital disorders (PEARLS)

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.

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

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

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