7 years Boy presented With Proptosis for 5 days duration,Non Pulsatile with ophthalmoplegia.What are the differential diagnosis??

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Proptosis unilateral 5 days duration. D/D - Orbital haemorrhage Intraorbital foreign body Emphysema of orbit Traumatic aneurysm Orbital cellulitis Orbital abscess Cavernous sinus thrombosis Angioneurotic oedema

Propyosis with normal conjunctiva , nonpulsatile which exclude cavernous sinus thrombosis, carotico- cavernous fistula/ aneurysm.The boy has singificant infective lower lid odema indicative of local inflammation. Suggest - ophthalmology opinion

D/D. 1.0 Proviral haemorrha6ge 2.Intraorbital F.B. 3.Emphysema of orbit.Traumatic aneurysm. 4.Orbital abcess. 5.Cavernous Sinus thrombosis. 6.Angioneurotic edema7

H /0 BLUNT TRUMA TO. BE RULD OIUT
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The eye lids seems to be swollen with infection since there are multiple vesicles present over the eye lid and around more over there is gluing of the lesions.

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Cellulitis orbital AML Malignancy Retinoblastoma

It looks conjunctivitis Treat it after Eye examinations.

Thanks Dr A Mazeed
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THRIOD OPHTHALMOPATHY ORBITAL CELLULITS OPTIC NEURITIS

Psuedotumor bulbi (Orbital inflammatory syndrome)advised M R I orbit treatment with tapering dose of steroids & ornidine .

Agreed@Dr. Manorama Rajan mam

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