orbital cellulitis - perivasculitis, and violaceous lids....

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Learning Issue: Orbital Cellulitis Name: Michael Holmes Definition Is a serious eyelid and orbital infection. Causes The major causes of orbital cellulitis are sinusitis (58%), lid or face infection (28%), foreign body (11%), and hematogenous (4%). Staphylococcus and Streptococcus are the most common causative organisms in adults, Haemophilus influenzae in children. Less common organisms are Pseudomonas and Escherichia coli. Risk Factors Otitis media Pathophysiology Organisms enter the orbit either directly from disruption of the normal skin barrier or through sinuses, or venous channels. Signs and Symptoms Presents with swollen red eyelids with chemosis, exophthalmos, pain, fever, and leukocytosis. What to look for in physical exam The warning signs of orbital cellulitis are a dilated pupil, marked ophthalmoplegia, loss of vision, afferent pupillary defect, papilledema,
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Unformatted text preview: perivasculitis, and violaceous lids. Diagnostic Testing Medications/ Treatment plan Augmentin 875 mg, BID is first choice, levaquin and bactrim is an effective alternative treatment for patients with penicillin allergies. Aspiration to drain fluid. Questions for Patient Have you recently had an ear infection? How it relates to patient Patient had a red eye 3 main points for this learning issue: Sources: 1. Goroll AH, Mulley AG. Primary Care Medicine Official Evaluation and Management of the Adult Patient . 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins.; 2008: 1341,1343. 2. http://www.mdconsult.com/das/book/body/217561578-3/1048945583/1869/582.html#4-u1.0-B978-0-323-04332-8. .00241-9--s1230_5552...
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This note was uploaded on 02/18/2012 for the course PAS 600 - 601 taught by Professor Garrubba during the Fall '10 term at Chatham University.

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orbital cellulitis - perivasculitis, and violaceous lids....

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