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Old 07-05-2011
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Eye 5 year old female girl with swelling of the right eye

A 5 year old female girl is brought to your office by her mother. On examniation, she is febrile and has swelling of her right eyelid. Proptosis and limitation of ocular movements are noted . Which of the following is the most likely diagnosis?

A. Retinoblastoma
B. Orbital cellulitis
C. Periorbital Cellulitis
D. Neuroblastoma
E. Hyphema
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Old 07-06-2011
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The symptoms of the patient is best explained with orbital cellulitis. (Reference uptodate)
Retinoblastoma often occurs<2 year (and most <5 years) and can present with eye inflammation (cellulitis) (reference:Uptodate)

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Old 07-06-2011
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Question which one

since there is proptosis and limitation of eye movement
i would go with peri orbital cellulitis
although orbital cellulitis can also cause this
please give the answer n the exp of y not the other one
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Old 07-06-2011
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B. Orbital cellulitis the answer because opthalmoplegia

because in
C. Periorbital Cellulitis there is intact ocular movement
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Old 07-06-2011
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Answer is B. Orbital cellulitis is a medical emergency . It is a bacterial infection of the orbit. It may be distinguished from periorbital (also called preseptal) cellulitis by the presence of proptosis or limited extraocular movements.
When orbital cellulitis is suspected , cultures of blood and CSF should be obtained , appropriate antibiotics and CT films should be obtained.
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