Author: Rohan Shankarghatta / Editor: Nick Tilbury / Codes: OptC3, SLO1, SLO2 / Published: 23/12/2024
A 6-year-old boy presents to the Emergency Department (ED) with a red, swollen. painful left eye since he woke up this morning. His mum states that he is usually fit and well but currently has a nasty cold and is off school.
On examination, there is erythema and partial ptosis of the left eye due to swelling of the lower and upper eyelids. The child can move the affected eye without any pain or restriction of movements. There is no proptosis, and visual acuity is normal in both eyes. Visual fields, cranial nerve examination and pupillary response are also all unremarkable.
Blood tests show the following:
- WCC 12.3
- Hb 120
- CRP 89
Observations:
- Temperature 37.8
- BP 100/80
- HR 90
- RR 17
- Sats 99%
2 responses
Great Revision
Great case, comprehensive and clear explanation for what is often a tricky presentation. Thank you!