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what is diagnosis and treatment..

How will you manage this case 3yr/f presented with left eye protusion,lid swelling from 4 days C/C As per history given by parents and Discharge from the eye and nose 7 days fever 7 days ...

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ORBITAL CELLULITIS NEEDS URGENT TREATMENT ADMIT THE CHILD EXCLUDE ENT AND DENTAL CAUSE C T SCAN ORBITS NEEDS URGENT TREATMENT THE CONDITION CAN GO TO ORBITAL ABCESS OR CAVERNOUS SINUS THROMBOSIS IV MONOCEF AFTER CALCULATING DOSE AND TEST DOSE TOPICAL MOXAFLOXINE EYE DROPS ONE'DROP 4 TIMES A DAY NON STERIODAL ANTI-INFLAMMATORY EYE DROPS ONE'DROP 3 TIMES A DAY MOXAFLOXINE EYE OINT AT BED TIME ANTI-INFLAMMATORY SYRUP HOT FOMENTATION

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Probability is : . Acute orbital cellulitis. Mx : . Ask for h/o fever , lethargy , apathy , trauma to eye. .

.continued mx : . Adv: mri orbit. . Adv : ent checkup , checkup by paediatrician. . Adv : hospitalization. . Iv antibiotics. . Oral analgesics & antiinflammatiry drugs.
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ORBITAL CELLULITIS NEEDS URGENT TREATMENT ADMIT THE CHILD EXCLUDE ENT AND DENTAL CAUSE C T SCAN ORBITS NEEDS URGENT TREATMENT THE CONDITION CAN GO TO ORBITAL ABCESS OR CAVERNOUS SINUS THROMBOSIS IV MONOCEF AFTER CALCULATING DOSE AND TEST DOSE TOPICAL MOXAFLOXINE EYE DROPS ONE'DROP 4 TIMES A DAY NON STERIODAL ANTI-INFLAMMATORY EYE DROPS ONE'DROP 3 TIMES A DAY MOXAFLOXINE EYE OINT AT BED TIME ANTI-INFLAMMATORY SYRUP HOT FOMENTATION

Thank you doctor
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