random photo of the week

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random photo of the week - December 3, 2007 8:28:44 AM

Dr.Wagner

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From: Indianapolis
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eye

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Dr. Wagner DO
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RE: random photo of the week - December 3, 2007 9:00:33 AM

Tom Reeves DPT ATC

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is that a spider bite?

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

Shill

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From: Madison WI USA
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I think the kid from your dancing photo punched him/herself in the eye.

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

steve

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

Steve

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

jma

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

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RE: random photo of the week - December 3, 2007 2:06:07 PM

Dr.Wagner

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You were kidding about the spider bite right...

here is conjunctivitis (pink eye)

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Dr. Wagner DO
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RE: random photo of the week - December 3, 2007 2:21:29 PM

steve

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From: victoria, bc Canada
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Hey Dr. Wagner,

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

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RE: random photo of the week - December 3, 2007 3:52:15 PM

Dr.Wagner

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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.

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Dr. Wagner DO
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RE: random photo of the week - December 3, 2007 10:45:03 PM

steve

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From: victoria, bc Canada
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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

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RE: random photo of the week - December 4, 2007 7:08:33 AM

Dr.Wagner

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From: Indianapolis
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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.

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Dr. Wagner DO
Moderator of Medical Complexity Forum

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

jma

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From: NY
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Thanks for the info. Keep bringing the cases.

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Post #: 11