Clinical Case Database / Category: Patient Management
A youngster with a swollen eye
Publication details
Anand Kirwadi MBBS, FRCS, Ian C Bickle MB, BCh, BAO (Hons), FRCR
Foundation Years Journal, volume 4, issue 10, p.38 (123Doc Education, London, January 2011)
Abstract
This 6-year-old boy presented 24 hours earlier to A&E department complaining of a swelling of the right eye. He was assessed by a Casualty officer and given oral antibiotics for presumed peri-orbital cellulitis. His parents returned to A&E the following day as the swelling had progressed and he was unable to open his right eye. On examination there was no evidence of discharge or trauma. The boy's mum indicated that he had only a minimally ''runny'' nose. He had a mild pyrexia.
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Authors
Anand Kirwadi MBBS, FRCS
Radiology SpR
Sheffield Teaching Hospitals Trust
Royal Hallamshire Hospital
Glossop Rd
Sheffield
S10 2JF
Ian C Bickle MB, BCh, BAO (Hons), FRCR
Radiology SpR
Sheffield Teaching Hospitals Trust
Royal Hallamshire Hospital
Glossop Rd
Sheffield
S10 2JF
References
1. emedicine.medscape.com/article/1217858-diagnosis.
2. Jesse T. Ryan et. Al. (2009) Management of pediatric orbital cellulitis in patients with radiographic findings of subperiosteal abscess. Otolaryngology– Head and Neck Surgery 140: 907–991.
3. Hirsch M. (1988) CT in the diagnosis and treatment of orbital cellulitis. Pediatr Radiol 18:302–305.
4. Vincent Tan Eng Soon (2009) Pediatric subperiosteal orbital abscess secondary to acute sinusitis: a 5-year review. Am J Otolaryngol.
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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