PRESEPTAL CELLULITIS Flashcards
1
Q
Risk factors
A
URTI (esp. paranasal)
hordeolum
chalazion
insect bite
trauma
2
Q
Etiology
A
Staph Aureus
Staph Epidermidis
Strep sp.
3
Q
Clinical Features
A
Erythema
Warmth
Swelling
Tenderness of the lids and periorbital tissue
Excessive Tearing
Normal VA, pupillary response, appearance
NO Pain with EOM
a/w
URTI
Low Grade Fever
4
Q
Distinguishing feature between Pre and Postseptal Cellulitis
A
Pain with EOM
5
Q
Indications for CT Scan
A
Decreased ocular motility
Pain with ocular motility
Young child with unreliable exam
Concern with postseptal cellulitis
6
Q
Imaging
A
CT scan of orbit with contrast
7
Q
Management: Peds
A
Amox/Clav 20 mg/kg/d PO divided into bud dosing
8
Q
Management: Adults
A
1st generation cefalosporin 500 mg PO tid
9
Q
Indications for hospitalization
A
Severe cases
Young children
