Concluded Case

External Hordeolum

HPI: 5/F was brought by her mother to the ER due to swelling and redness of the right upper eyelid. Three days prior to consult, the patient had an insect bite on her right upper lid. The patient kept scratching and manipulating the area, despite being told not to scratch her eyelids. Two days prior to consult, the mother began to notice redness and swelling of the right upper lid. One day prior to consult, there was increased swelling, redness, and pain. The patient was also febrile, with decreased appetite and decreased activity. Worsening of symptoms prompted the mother to seek consult. Give the diagnosis. See the images below what r the pertinent findings. Give plan.

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Concluded answer

Looks like infected hordeolum with preseptal cellulitis Advice local and systemic antibiotics, anti inflammatory agents and also hot fomentation

All Answers

Insect bite history of scratching leading to infection result in in pyogenic inflammation with collection of ups on temporal edge of right upper lid Augmenting syrup ibugesic syrup, 7 days drainage of pus topical ciplox eye oint

Looks like infected hordeolum with preseptal cellulitis Advice local and systemic antibiotics, anti inflammatory agents and also hot fomentation

Thank you doctor
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