Orbital disorders (PEARLS)
NCCPA™ PANCE EENT Content Blueprint eye disorders ⇒ orbital disorders
| Orbital cellulitis (ReelDx) |
Orbital cellulitis
 You are called to see a 49 y/o with swelling and redness around the eye
Patient
Vitals
- Temperature: 98.4 F/36.9 C
- Blood Pressure: 153/93
- Heart Rate: 83
- Respiratory Rate: 18
- Pulse Oximetry: 97%
Signs and Symptoms
- Swelling and redness around the eye
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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 |
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