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Orbital Cellulitis

There's more than meets the eye in this case of orbital cellulitis.
During Summer storms, lightning strikes can cause fatalities …but what happens to the survivors?
Management of the most common ophthalmic presentation: the acute red eye.
A 45-year-old woman presents with 24 hour history of right sided frontal headache with progressive worsening of vision.
A 70-year-old female presents with flashes, floaters, and a loss of vision in her right eye.
A 60-year-old woman presents with eye pain and visual disturbance. She vomits just as you call her in for assessment.
A 34-year-old woman presents with a worsening vision and pain on eye movement.
A 10-day-old male infant presents with redness and discharge from both eyes.
This session identifies the clinical features of the different types of conjunctivitis and describes appropriate investigation and management.
This module identifies the clinical features of the different types of conjunctivitis and describes appropriate investigation and management.
A 70-year-old female presents to the ED with headache, jaw pain and visual disturbance.
A patient presents with a red eye – how do you manage it?
A 55-year-old female presents to the ED with worsening diplopia for 2 days.
This month we discuss: The STANDING Protocol for Vertigo, Head Injury (Part 2 of 2), A History of A&E Performance with Steve Black, TTA Topical Anaesthetics for Corneal Abrasion and New Online.
A 60-year-old male presents to the emergency department with sudden loss of vision in his right eye.
This session covers the assessment, treatment and management of patients presenting to the ED with primary blast injuries.
This module covers the assessment, treatment and management of patients presenting to the ED with primary blast injuries.
An elderly lady is brought into ED with worsening left eye pain since a procedure she had to both eyes.
How to safely manage chemical eye injury to prevent complications.
An 80-year-old woman sustains a lid-laceration in an RTC. How should this be managed?
Nikki Abela and Liz Herrieven have treated themselves to the RCEM PEM Conference in Manchester on 21/3/2023 – World Down Syndrome Day. Put on your #LotsOfSocks for the day and have a read to see what they learned.
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
Doctor, why is my vision worse after surgery?
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
Chemical eye injury can be caused by acids or alkali. It is important to know how to manage them in the ED.
A 15-year-old male presents to the ED complaining of blurred vision in the right eye, floaters, and mild headache.
A 45-year-old woman presents with loss of vision in her left eye
A 43-year-old female presents with blurred vision following a fall.
It all started with a headache…
A 36-year-old male presents to the ED with left eye pain and ‘redness’ for one day, especially uncomfortable in bright light. He also reports blurred vision and floaters.
A woman presents with 10/10 eye pain. Consider what could be going on, rule out the red flags and address her urgent concerns!
A 59-year-old man presents to the ED at 11pm with acute onset severe (9/10) generalised headache and vomiting, which started at the dinner table at 5pm.
A 5-week-old baby presents with persistent watery pus-like discharge from both eyes.
A 2-year-old female presents to your Emergency Department after biting into a liquid detergent capsule
A 27-year-old male presents with sudden onset of L-eye redness.
A 63-year-old male presents with acute painful and red left eye.
A woman presents with an unusual cause of ophthalmic symptoms.
A 22-year-old female wakes up with photophobia, pain and irritation in the right eye.
A young man presents with an acutely red and painful eye on the background of a chronic stable condition.
A 53-year-old man has noticed redness in his right eye this morning. He denies any pain, blurry vision or photophobia.
A 35-year-old woman attends the ED with right eye swelling and diplopia.
A 62-year-old man presents with sudden eye drooping and double vision.
A 63-year-old female with no known medical history presents to the ED complaining of persistent double vision for the last four days.
A 73-year-old male presents to ED with sudden, painless vision loss in left eye.
A 54-year-old man presents with a sudden onset of double vision and a droopy eyelid.
A 5-year-old girl presents to ED with a red swollen eye which she cannot open or move.
A woman with diplopia needs your help. Can you identify the cause and include or exclude any red flags?
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
A set of 10 Multiple choice questions to help you revise. The Questions have been selected at random covering the curriculum.
A 40-year-old female is brought in by ambulance having collapsed. She has vomited several times.
A young man with intermittent headache, unilateral eye strain & blurry vision.
This session aims to increase the awareness of Kawasaki disease with a focus on recognising the principal clinical features, in line with recent updates to the NICE guidelines
This learning session aims to increase the awareness of Kawasaki disease with a focus on recognising the principal clinical features, in line with recent updates to the NICE guidelines.
A 82-year-old man attends the ED after a fall at home.
A new mum comes into your ED with her child, worried about his red eye.
An SAQ designed to consolidate your knowledge on the features and management of Kawasaki disease.
A 30-year-old professional martial artist sustained a direct blow to the left side of his face during training.
An elderly lady, Susan, arrives in the emergency department with a sudden visual loss.
A 29-year-old lady presents with double vision
A 35-year-old female presents to the emergency department with transient vision loss and headache.
Eye injuries are a worldwide cause of visual morbidity and account for approximately half of all ophthalmological attendances to Emergency Departments
This module covers the assessment and management of corneal injuries.
A 31-year-old man presented to the ED after falling off a wall into a bush. He sustained head and facial injuries.
A patient presents with sudden, painful loss of vision. Can you diagnose the problem and provide emergency management?
The aim of TERN Top Papers is to highlight the top emergency care related papers for emergency physicians, keeping them abreast of the latest practice-changing studies. This month’s Top Papers comes from the beautiful hills of Snowdonia, with the team from Bangor Emergency Department bringing you this month’s summary of important articles for your attention.
In this episode we discuss Paediatric Cardiology, Gender identity in ED, Traumatic and Medical Ophthalmology
Anyone who has ever worked in an ED on a Friday night knows that facial injuries are a common presentation
This month we discuss Killer rashes-not to miss, Traumatic Eye Injury, how to distinguish Severe Drug Reactions in the ED, REBOA: What have we learnt?
An elderly woman presents with bilateral visual loss progressively worsening over the previous four days
Eye problems account for approximately 6% of all attendances to an Emergency Department (ED) in the UK
This session covers the initial assessment of eye and visual problems in the Emergency Department.
A 28-year-old female presents to the emergency department with a 3-day history of a red, painful and watery right eye.
While working in the minors area of a busy teaching hospital's ED, a somewhat flustered junior doctor approaches you to confess her actions.
Cranial nerve injuries are important clinical signs, which alert the examiner to intracranial pathology. This session will look at the more common traumatic and medical causes of cranial nerve injury
A 69-year-old lady presents with a 3-week history of right sided headache and jaw claudication, associated with significant reduction in vision of the right eye for 2 days.
This session will look at the assessment and management of infections affecting the external eye and the lacrimal apparatus
A 26-year-old woman presents to the Emergency Department complaining of unilateral headache and vomiting.
A 31-year-old female presented to the emergency department complaining of a dilated left pupil that had been noticed by a colleague at work.
This 18-year-old patient was allegedly punched by a stranger during a night out.
A 30-year-old lady presents to the ED feeling "numb from the waist down".
A 55-year-old Farmer presented to the Emergency Department with sudden onset decreased vision, pain and bleeding from his right eye.
Sudden visual loss is a presentation one should expect and be prepared to see, as an emergency physician
Eyes are the windows to the soul. They have the power to mesmerise and enchant even the hardest of hearts. Yet, for many clinicians, they also instill genuine fear.
This month we have Guideline CVA part 2 | Paper 1 - New in EM cervical artery dissection | Belfast CPD 2019 Acute Ophthalmology | New in EM: NACSTOP trial - early cessation of NAC in paracetamol OD | EMEC Anu Mitra
A previously healthy 28-year-old male accountant presents to the ED with pain in his left eye.
The first podcast in partnership with the EMJ
FRCEM Primary Examination Single Best Answer
The new podcast for August 2017
This podcast is a follow up from the previous ophthalmology podcasts. This time covering the clinical cases that you will see, helping to prepare you for an area that sometimes can be uncomfortable to manage
The 3rd in the series on Eye Anatomy. This vodcast looks at the bits that move the eye. Make sure you check out the other 2 vodcasts, bits of the eye and bony parts of the eye as well. Enjoy!
Part 2 of the eye. This vodcast looks at the bony parts of the eye and the orbit. Make sure to check out Part 1 on bits of the eye. Part 3, the bits that move the eye will be out soon. Enjoy!
The first of a three part series of eye anatomy, all that you need to know for MCEM/FCEM