random photo of the week (Full Version)

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Dr.Wagner -> random photo of the week (December 3, 2007 8:28:44 AM)

eye


[image]local://2287/29D4609588B444878B93A454B039CC49.jpg[/image]



Tom Reeves DPT ATC -> RE: random photo of the week (December 3, 2007 9:00:33 AM)

is that a spider bite?



Shill -> RE: random photo of the week (December 3, 2007 9:52:11 AM)

I think the kid from your dancing photo punched him/herself in the eye.



steve -> RE: random photo of the week (December 3, 2007 12:25:32 PM)

conjunctivitus or peri/orbital cellulitis - needs to be seen by a doc but I believe only the last one is an emergency.

Steve 



jma -> RE: random photo of the week (December 3, 2007 12:57:23 PM)

Hmmm. Perhaps conjunctivitis but I would like to know what the parents had to say how this came about.



Dr.Wagner -> RE: random photo of the week (December 3, 2007 2:06:07 PM)

You were kidding about the spider bite right...

here is conjunctivitis (pink eye)




[image]local://2287/FD423BE0C0244E619D4C3BD53DBD5947.jpg[/image]



steve -> RE: random photo of the week (December 3, 2007 2:21:29 PM)

Hey Dr. Wagner,

I thought conjuctivitis could, in extreme cases, cause the eye to swell to where it is closed... no?



Dr.Wagner -> RE: random photo of the week (December 3, 2007 3:52:15 PM)

Conjunctivitis affects the conjunctiva...drainage may cause the eye to be matted shut, but the above picture is Periorbital cellulitis or preseptal cellulitis.  An infection of the periorbital soft tissue.



steve -> RE: random photo of the week (December 3, 2007 10:45:03 PM)

Wags,

So what would treatment be? I'm guessing in the periorbital cellulitis it would be a course of antibiotics and close watching. What about in the case of orbital cellulitis?

Thanks for the presentation, this one is particularly good for a guy with three children although sadly doesnt have a good MMA story behind it!

Steve



Dr.Wagner -> RE: random photo of the week (December 4, 2007 7:08:33 AM)

Ha!  Orbital cellulitis is an infection of the posterior orbital fat pad and more, it is a medical Emergency and requires IV antibiotics, admission and ENT/optho consult.

This case requires, as you stated, oral antibiotics and follow up...probably one dose of IM antibiotics prior to DC.



jma -> RE: random photo of the week (December 5, 2007 11:51:39 PM)

Thanks for the info. Keep bringing the cases.



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