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What
Dr. Hom says about Grand Rounds Case #58 -Periorbital Pain |
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Case History:
This is a hypothetical case. A 35 year old woman presents from the emergency room with a sore
LUL.
Questions:
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What imaging tests?
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What is the minimum amount of testing to come to a diagnosis?
What
Dr. Hom says:
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The
best imaging study is an MRI to differentiate between an orbital
cellulitis from a pre-septal cellulitis from an acute chalazion
or hordeolum.
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Likewise,
palpation would be very helpful. Feel for any hard nodule, but
don't press so hard that you might rupture the nodule and create
a cellulitis. Body Temperature, extraocular muscle functions are
also relevant.
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