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orbital_cellulitis [2024/03/25 07:44] – Scott Larsonorbital_cellulitis [2024/03/25 07:46] (current) – Scott Larson
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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+  * Hemodynamically stable without features of shock or critical illness
  
 ===Exclusion Criteria (that may warrant additional studies/interventions)=== ===Exclusion Criteria (that may warrant additional studies/interventions)===
-- 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, such as malignancy, drug-induced (chemotherapy, immunomodulator therapy or chronic high-dose steroids) or HIV +  * Primary or acquired immunodeficiency, such as malignancy, drug-induced (chemotherapy, immunomodulator therapy or chronic high-dose steroids) or HIV 
-- Recent history of surgery at the site +  * Recent history of surgery at the site 
-- Environmental contamination including bite wound, presence of a foreign body or marine or freshwater exposure+  * 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 +  * Impairment of extraocular eye movements 
-• Proptosis +  * Proptosis 
-• Decreased visual acuity and/or abnormal pupillary response +  * Decreased visual acuity and/or abnormal pupillary response 
-• Conjunctival chemosis+  * 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.
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 ===Abbreviations=== ===Abbreviations===
-IV: Intravenous +IV: Intravenous, OC: Orbital Cellulitis, ID: Infectious Disease 
-OC: Orbital Cellulitis  +
-ID: Infectious Disease +
  
 ===References=== ===References===