{[ promptMessage ]}

Bookmark it

{[ promptMessage ]}

orbital cellulitis - perivasculitis and violaceous lids...

Info icon This preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
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,
Image of page 1

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

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...
View Full Document

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern