Orbital Cellulitis

Periorbital and Orbital Cellulitis can be difficult to distinguish from initially. Know that both have a good chance of improving with IV antibiotics. Not every child with preseptal/periorbital cellulitis requires a CT in the ED to rule-out orbital involvement. If there is no proptosis and normal eye movement, IV antibiotics may be sufficient. Hospitalization for close reassessments […]

Periorbital Cellulitis

When to Obtain CT? Eyelid swelling prevents adequate examination of the eye. CNS involvement (ophthalmoplegia, lethargy, seizure, focal deficits, etc.) Change in visual acuity Proptosis No improvement in 24 – 48 hours of appropriate therapy. Clinical deterioration

Emergency Medicine Kenya Foundation

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