Visual Wednesdays: Ophthalmologic Infections
Dr. Walid Malki covers ophthalmologic infections in this Visual Wednesday.
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orbital cellulitis
Orbital Cellulitis
In diagnosing sinusitis, we need to remember to be vigilant for the more complex entity: Orbital Cellulitis.
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EM@3AM: Orbital Cellulitis
A 12-year-old male is brought to the ED by his mom for right eye swelling and pain. The patient reports pain with extra ocular motion and decreased vision in the right eye. You see extensive right eyelid swelling. What’s the next step in your evaluation and treatment?
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Sinusitis Mimics: ED-relevant pearls and pitfalls
Your next patient is a 17-year-old male you had seen one week before for fever and congestion, diagnosed with a viral upper respiratory infection. He returns this time for nasal congestion, severe frontal headache, fevers, sore throat, and nasal drainage. When he looks around the room, he gets dizzy and is seeing double. He is febrile, tachycardic, and ill appearing, and you note proptosis of the right eye, a sluggish pupil, and inability to move the eye due to pain. Is this sinusitis, or something more sinister?
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