Cavernous Sinsus Thrombosis Versus Orbital Cellulitis? - USMLE Forums
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Old 08-10-2012
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Question Cavernous Sinsus Thrombosis Versus Orbital Cellulitis?

A 25-year-old man presents to the emergency room with a history of swelling around the left eye, which has become very painful. He states that initially he had noted double vision and that it hurts to move his eye. He was in considerable distress due to pain. The vital signs were as follows: temperature 101 F (38.3 C), pulse 86/min regular, respirations 18/min, blood pressure 128/78 mm Hg and, oxygen saturation 98% on room air. There was considerable swelling around the left eye, which was boggy and tender to touch. Ocular movements were present in all directions but were painful. The pupils were equal and reacting appropriately to light and accommodation, and funduscopy was unremarkable.
The most likely cause for this problem is:

(A) Cavernous sinus thrombosis
(B) Corneal ulcer
(C) Sinusitis
(D) Orbital abscess
(E) Ocular trauma
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Old 08-10-2012
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Originally Posted by tyagee View Post

he had noted double vision

it hurts to move his eye.
funduscopy was unremarkable.
i think D.......due to above features......
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(D) Orbital abscess since there is no cranial nerve involvement and altered sensorium.
Also, the eye movements are present (but painful)

Last edited by Novobiocin; 08-10-2012 at 05:26 PM.
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Old 08-10-2012
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(D) Orbital abscess since there is no cranial nerve involvement and altered sensorium.
Also, the eye movements are present (but painful)
ans is sinusitis. expln dx is cellulitis and cause of cellulitis is sinusitis.

@novo and k0101, thoughts?
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I only that sinusitis is the predisposing factor for orbital cellulitis.......!!!!!
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ans is sinusitis. expln dx is cellulitis and cause of cellulitis is sinusitis.

@novo and k0101, thoughts?
I think they are just splitting hairs.
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Infectious-Diseases, Internal-Medicine-, Ophthalmology-, Step-2-Questions

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