Differences
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orbital_cellulitis [2024/03/25 08:44] – oculoman | orbital_cellulitis [2024/03/25 08:46] (current) – oculoman | ||
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===Inclusion Criteria=== | ===Inclusion Criteria=== | ||
- | - Pediatric patients age ≥ 2 months and < 18 years old with a diagnosis of orbital cellulitis | + | * Pediatric patients age ≥ 2 months and < 18 years old with a diagnosis of orbital cellulitis |
- | - Hemodynamically stable without features of shock or critical illness | + | |
===Exclusion Criteria (that may warrant additional studies/ | ===Exclusion Criteria (that may warrant additional studies/ | ||
- | - Clinical features concerning for shock and/or critical illness, including toxin-mediated shock | + | * Clinical features concerning for shock and/or critical illness, including toxin-mediated shock |
- | - Primary or acquired immunodeficiency, | + | |
- | - Recent history of surgery at the site | + | |
- | - Environmental contamination including bite wound, presence of a foreign body or marine or freshwater exposure | + | |
===Diagnosis=== | ===Diagnosis=== | ||
Manifestations of OC can be unilateral or bilateral and suggested by the following orbital signs: | Manifestations of OC can be unilateral or bilateral and suggested by the following orbital signs: | ||
- | • Eye pain and/or pain with extraocular eye movements | + | * Eye pain and/or pain with extraocular eye movements |
- | • Impairment of extraocular eye movements | + | |
- | • Proptosis | + | |
- | • Decreased visual acuity and/or abnormal pupillary response | + | |
- | • Conjunctival chemosis | + | |
Eyelid and periorbital edema and erythema with ptosis are signs that accompany both pre-septal and post-septal cellulitis. Systemic symptoms like fever, headache and malaise may be present with either OC or pre-septal cellulitis. | Eyelid and periorbital edema and erythema with ptosis are signs that accompany both pre-septal and post-septal cellulitis. Systemic symptoms like fever, headache and malaise may be present with either OC or pre-septal cellulitis. |