child is nt being able to open his eyes properly. swelling is present both above n beneath the both eyes. The is child is 9yrs of age. What will be diagnosis n treatment???

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Bilteral orbital cellulitis with mucopurulent conjunctivitis Pnemococcal Gonococcal Post traumatic Adv CBC CRP ESR Culture of secretion There is chance of spread to cavernous sinuses Rx Hospitalisation Iv & topical antibiotic Anti inflammatory Ophthalmologist opinion

Child looks "TOXIC" BILATERAL CELLULITIS PERI-ORBITAL REGION. LEFT EYE ECHYMOSIS. Needs detailed History ? Dx : SEVERE SEPSIS WITH PERI-ORBITAL CELLULITIS. R/O : MALIGNANT INFILTRATION. URGENT OPTHALMOLOGIST OPINION.

History is not adequate.How long is it present? Is it painful or painless? Any constitutional upsets? It is not desirable to jump to a diagnosis or order for costly investigations. I would prescribe systemic antibiotics and anti-inflammatory agents +topical Antibiotic and NSAIDs for a few days and it will help to diagnose the case.

This child apperars to be an infant.T here are significant colour changes on the lids. There is chemosis. We need morr history and clinical findings to exclude leukemia especially AML and neuroblastoma. Is there any history of trauma?

Bilateral sewere chemosis there does not seem any inflamation. Conservative treatment is not going to help , Compression eye lid suturing a seme invasive technique is gong to help

Give cold compresses, lubricants, antibiotic eye ointment to cover prolapsed conjunctiva. It could be severe infection or malignancy, investigate by CBC, Peripheral Smear, HB electrophoresis, USG orbit, MRI Orbit PNS & Brain to arrive at a diagnosis and manage accordingly

Bilat orbital cellulitis S pneumonie S aurius N gono Trauma Cavernous sinus thrombosis Tumor

Child age doesn't suit with his photo, he looks like mongol(Dawn's syndrome) eye problem may be due to trauma, severe conjunctivitis, brain tumor, lymphoma, bleeding disorder,treat with broad spectrum antibiotic , locally antibiotic with corticosteroid drops,tab trypsin chymotrypsin, tab diamox to reduce optic n

To reduce intra optic pressure
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First the child doesn't look 9 yrs Pls give history Fever Jaundice Altered sensorium?

Yes DDS Malignancy Cellulitis
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Bacterial conjunctivitis or orbital cellulitis - child looks toxic so aggressive treatment iv antibiotics to be given and should be hospitalised to check breathing problems

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