PeriorbitalvsOrbitalCellulitis_RC

PeriorbitalvsOrbitalCellulitis_RC - Blood cultures and...

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Periorbital vs Orbital Cellulitis Name: Rachel Chacko Periorbital Cellulitis Orbital Cellulitis Principles of Disease/Clinical Features Infection lying anterior to orbital septum Swelling of eyelid Discoloration of the orbital skin Redness Warmth Conjunctival ecchymosis (subcutaneous purpura larger than 1 centimeter or a Occasional discharge Fever Leukocytosis Vision, extraocular movements, papillary findings, and optometric examination findings are normal Management Early stages may be followed on outpatient basis for first 24-48 hrs of antibiotic therapy with daily follow up to determine whether resolution is occurring Broad spectrum antistaphylococcal agent will be appropriate Principles of Disease/Clinical Features Similar but more severe symptoms Proptosis Decreased ocular mobility Ocular pain Tenderness on eye movement Causative organisms: Streptococcus species are most common Diagnostics Computed tomography scan of the orbit
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Unformatted text preview: Blood cultures and lumbar punctures for those with high fevers or those showing symptoms of meningismus or sepsis Management Hospitalization IV antibiotics Incision and drainage in some cases (reasons: clinical deterioration on antibiotics, presence of foreign body as cause of infection, presence of abscess) Broad spectrum antibiotic coverage of H. influenza, S. aureus, S. pyogenes and anaerobes is indicated Both Associated with young and age and unilateral Strong association with pre-existing sinus infections Other causes: penetrating or abrading skin trauma and preexisting vascular of pustular periocolar skin infections http://www.mdconsult.com/books/page.do?sid=1049287235&eid=4-u1.0-B978-0-323-05472-0. .00135-3--s0050&isbn=978-0-323-05472-0&type=bookPage&sectionEid=4-u1.0-B978-0-323-05472-0. .00135-3--s0055&uniqId=217631113-17#4-u1.0-B978-0-323-05472-0. .00135-3--s0055...
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