USMLE Forum Archives - USMLE Step 3 - Optha- Red,Bulging & not moving well
Optha- Red,Bulging & not moving well
harry206 - 05-15-09 07:43
A 7-year-old Hispanic boy is brought to the emergency department by his mother because she noticed his left eye was "red, bulging, and not moving real well" when she came home from work. The boy complains of fever, headache, and pain upon movement of the left eye. Past medical history is significant for chronic sinusitis. Temperature is 39.2C (102.5F), blood pressure is 102/70 mm Hg, pulse is 94/min, and respirations are 20/min. Physical examination reveals proptosis and ophthalmoplegia of the left eye with pain to gentle palpation. There is marked reddish discoloration and swelling of the left eyelids, and the conjunctiva is hyperemic. Visual acuity is normal bilaterally. Purulent material is draining from the nose. Which of the following is the most appropriate next step?
harry206 - 05-15-09 07:43
A 7-year-old Hispanic boy is brought to the emergency department by his mother because she noticed his left eye was "red, bulging, and not moving real well" when she came home from work. The boy complains of fever, headache, and pain upon movement of the left eye. Past medical history is significant for chronic sinusitis. Temperature is 39.2C (102.5F), blood pressure is 102/70 mm Hg, pulse is 94/min, and respirations are 20/min. Physical examination reveals proptosis and ophthalmoplegia of the left eye with pain to gentle palpation. There is marked reddish discoloration and swelling of the left eyelids, and the conjunctiva is hyperemic. Visual acuity is normal bilaterally. Purulent material is draining from the nose. Which of the following is the most appropriate next step?
The correct answer and explanation will be available after you answer.
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#1
Re: Optha- Red,Bulging & not mov meduploader - 05-15-09 14:18 My answer is: a.
Orbital cellulitis ---> brain abscess or bacteremia --> hospitalized and IV ABX
clinical improvemnet --> oral ABX for 2- 3 weeksl
#16
Re: Optha- Red,Bulging & not mov conym5 - 04-08-10 20:41 Orbital cellulitis typically arises from an extension of infection of the paranasal sinuses. It is a potentially life-threatening condition, warranting admission to the hospital and treatment with broad-spectrum intravenous antibiotics for three days and oral therapy for an additional 2-3 weeks
#19
Re: Optha- Red,Bulging & not mov babbu5508 - 08-31-10 05:11 My answer is: a.
orbital cellulitis secondary to sinusitis...requires Admission to hospital due to its dangerous complications.....
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