Preseptal Cellulitis Quiz
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Questions and Answers

Which type of cellulitis is more common, but still associated with severe complications?

  • Orbital cellulitis
  • Subcutaneous cellulitis
  • Preseptal cellulitis (correct)
  • Bacterial orbital cellulitis
  • What are the typical responsible organisms for preseptal cellulitis?

  • Clostridium difficile and Enterococcus faecalis
  • Escherichia coli and Pseudomonas aeruginosa
  • Staphylococcus aureus and Streptococcus pyogenes (correct)
  • Haemophilus influenzae and Neisseria gonorrhoeae
  • What imaging is not indicated for preseptal cellulitis unless orbital cellulitis or a lid abscess is suspected?

  • X-ray
  • MRI or CT (correct)
  • Ultrasound
  • PET scan
  • What is the recommended treatment for preseptal cellulitis?

    <p>Oral antibiotics such as co-amoxiclav</p> Signup and view all the answers

    Which organism is NOT mentioned as a common causative organism of the condition described?

    <p>Pseudomonas aeruginosa</p> Signup and view all the answers

    What is a common symptom associated with the condition?

    <p>Double vision</p> Signup and view all the answers

    What is a typical choice for intravenous antibiotics mentioned in the text?

    <p>Ceftazidime</p> Signup and view all the answers

    What is the recommended frequency for monitoring optic nerve function initially?

    <p>Every 4 hours</p> Signup and view all the answers

    What is a possible investigation mentioned for this condition?

    <p>High-resolution CT of the orbit, sinuses and brain</p> Signup and view all the answers

    What may warrant an emergency canthotomy/cantholysis?

    <p>Optic disc swelling</p> Signup and view all the answers

    What may be performed if there is a lack of response to antibiotics or very severe sinus disease?

    <p>Drainage of infected sinuses</p> Signup and view all the answers

    What may prompt the consideration of surgical intervention?

    <p>Deterioration in optic nerve function</p> Signup and view all the answers

    True or false: Preseptal cellulitis is less serious than orbital cellulitis?

    <p>True</p> Signup and view all the answers

    True or false: Imaging with MRI or CT is always indicated for diagnosing preseptal cellulitis?

    <p>False</p> Signup and view all the answers

    True or false: Preseptal cellulitis may progress to orbital cellulitis?

    <p>True</p> Signup and view all the answers

    True or false: The recommended treatment for preseptal cellulitis includes oral antibiotics such as co-amoxiclav?

    <p>True</p> Signup and view all the answers

    Orbital cellulitis is more common in adults than in children.

    <p>False</p> Signup and view all the answers

    Streptococcus pneumoniae is not a common causative organism of orbital cellulitis.

    <p>False</p> Signup and view all the answers

    Infection can spread from preseptal cellulitis to cause orbital cellulitis.

    <p>True</p> Signup and view all the answers

    Blood cultures are not indicated as part of the investigations for orbital cellulitis.

    <p>False</p> Signup and view all the answers

    Optic nerve compression is not a concern in cases of orbital cellulitis.

    <p>False</p> Signup and view all the answers

    Antibiotics are typically given orally for the treatment of orbital cellulitis.

    <p>False</p> Signup and view all the answers

    Drainage of an orbital abscess should be considered at an early stage.

    <p>True</p> Signup and view all the answers

    Choroidal folds are not present on fundus examination in cases of orbital cellulitis.

    <p>False</p> Signup and view all the answers

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