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lunes, 24 de octubre de 2016

Orbital Complications of Sinusitis

60 Second EM
60secondEM (Visual Diagnosis # 17) - By markpbrady - October 21, 2016 
"A 14 yr male presents with pain and swelling to the left eye. Mother states he recently had a mild illness with cough and sinus congestion within the past 2 weeks. Over the past 3-4 days he has developed left eye pain and swelling. 
He currently has a fever of 101.2 °F (38.4°C) and the rest of his vital signs are within normal limits. 
Physical exam reveals proptosis and ophthalmoplegia, orbital pain and tenderness as well as a dark red discoloration of the eyelids, conjunctival chemosis and hyperemia of the conjunctiva.


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  1. What conditions should you consider in the differential diagnosis?
  2. What testing should you consider?
  3. What are the orbital complications of sinusitis?"