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7 Cards in this Set
- Front
- Back
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What is orbital vs preseptal cellulitis?
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preseptal= periorbital: anterior to orbital septum and outside boney orbit
orbital= postseptal: d/t location being behind orbital septum, orbital infxn of fat and muscle in the boney orbit |
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What is the most common risk factor for orbital cellulitis?
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sinusitis(ethmoid sinuses are covered by lamina propria)
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What are the symptoms of preseptal cellulitis vs postseptal?
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pain with eye movement, swelling, erythema of tissue around orbit with/without fever
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What are causes of preseptal or periorbital cellulitis?
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organic infection of soft tissue of face and eyelids secondary to local trauma, insect/animal bites, face bites; strep pneumo, staph, anaerobes are most common
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Do you need inpatient treatment for preseptal cellulitis?
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- if no improvement after 24 hours, send to hospital; clinical improvement after 48-72 hours means a trial of PO is ok
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What are symptoms of preseptal cellulitis?
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pain with eye movement more common, chemosis, proptosis, global displacement, limit of eye movement, double vision, vision loss
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What is the treatment of orbital cellulitis?
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Vancomycin 40-100mg/kg IV per day in 3-4 doses; ceftriaxone 50mg/kg/day or BID
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