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Old 10-09-2011
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Eye Swelling eye with ophthalmoplegia

26 years old male presented to the ER with painful swelling Lt eye, swelling of the eye lid with Erythema, on examination, eye ball is protruding, the did not move (ophthalmoplegia), what is the next best step in the management of this patient?
1. IV antibiotic that cover S. aureus.
2. local antibiotic that cover S. aureus, with steroid ointment.
3. CT scan of the head.
4. Do culture & sensitivity, then start IV antibiotic that should cover S aureus.
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Old 10-09-2011
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CT scan of the head.
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Old 10-09-2011
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i think, it's orbital cellulitis... so i'll go for > 1. IV antibiotic that cover S. aureus.
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Old 10-10-2011
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1. IV antibiotic that cover S. aureus.
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Old 10-10-2011
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This is a case of orbital cellulitis.
The correct answer is: IV antibiotic that cover S. aureus.
Then you should do CT scan of the head.
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