Periorbital cellulitis: Difference between revisions
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== Management == |
== Management == |
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* Need to distinguish preseptal from orbital cellulitis: preseptal will have swelling, may have pain and tenderness, fever, and luekocytosis, but should not have painful eye movements, proptosis, ophthalmoplegia, or vision impairment |
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* CT sinus/orbit with contrast |
* CT sinus/orbit with contrast |
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* Antibiotics that cover Gram-positives and Gram-negatives, including ''Pseudomonas'' |
* Antibiotics that cover Gram-positives and Gram-negatives, including ''Pseudomonas'' |
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Latest revision as of 19:16, 24 November 2023
Management
- Need to distinguish preseptal from orbital cellulitis: preseptal will have swelling, may have pain and tenderness, fever, and luekocytosis, but should not have painful eye movements, proptosis, ophthalmoplegia, or vision impairment
- CT sinus/orbit with contrast
- Antibiotics that cover Gram-positives and Gram-negatives, including Pseudomonas
- Duration 3 to 4 weeks, which should include an initial 1 to 2 weeks of IV
