Periorbital and orbital cellulitis (pediatrics) Quiz: Ace Your Exams
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A 6-year-old girl is brought to the emergency department for evaluation of left eye pain and swelling for one week. Parent is at the bedside and states that the patient sustained a bug bite to her lower eyelid that progressively increased in size over the past week. He became more concerned today when the patient developed a fever at home and began complaining of pain with eye movements. The patient has no significant medical history and is otherwise healthy. Temperature is 38.3 F°C (101°F), blood pressure is 108/65mmHg, pulse is 117/min, respiratory rate is 20/min, and oxygen saturation is 99% on room air. On physical examination, the patient has evidence of soft tissue swelling erythema, tenderness around the left orbit, and pain with extraocular movements. She states her vision is blurry, but visual acuity testing is within normal limits. The rest of the neurological examination is within normal limits. Which of the following is the best next step in management?
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