orbital cellulitis Flashcards
1
Q
what is orbital cellulitus?
A
infection of soft tissues in the orbit
2
Q
what is orbital cellulitus?
A
infection of soft tissues in the orbit
3
Q
what is it commonly caused by?
A
bacterial infection spread from sinus
4
Q
what is more serious orbital or pre septal ?
A
orbital !!
5
Q
what is more serious orbital or pre septal ?
A
orbital !!
6
Q
clinical signs
A
- periorbital swelling
x severe orbital pain - fever
- conjunctivitis and chemosis
- loss of colour vision
- proptosis
- impiared ocular motility
- RAPD
7
Q
symptoms
A
- sudden onset unilateral swelling of conjunctiva and lids
- pain on ocular movement
- blurred vision
- diplopia
- fever
- severe malaise
8
Q
management by optom?
A
Emergency same day referral to ophthalmologist or A+E
9
Q
management in HES?
A
CT scan of orbit and sinuses
blood tests including ESR
admission to hospital
intravenous systemic antibiotics + sateroid
10
Q
how to differentiate between orbital and pre septal?
A
11
Q
if someone comes in with pre septsl what do you do ?
A
refer as same day as could be orbital
