Peer Response – Diagnosis and Management of Periorbital Cellulitis in a Pediatric Patient

Peer Response – Diagnosis and Management of Periorbital Cellulitis in a Pediatric Patient

Responding to Monique Hazel Domalanta

Hello,

Great work. You have presented an extensive and evidenced-based understanding of the case study about the symptoms of the 10-year-old patient. The symptoms described have a high affinity with those of periorbital cellulitis, including left-sided soft tissue swelling, redness, and fever (Bae, C., & Bourget, D, 2020). The diagnostic process is also appropriately touched upon, mentioning the possible use of a CT scan to confirm the diagnosis and assess the severity. The depth of your treatment plans includes both pharmacological and non-pharmacological therapies. The choice of oral antibiotics is guided by the current literature, both regarding the patient’s age and symptom severity. (Balogh et al., 2019) Your detailed explanation of pediatric antibiotic dosages and the inclusion of acetaminophen for fever management shows a good grasp of pediatric pharmacotherapy. On the other hand, your advocacy of non-pharmaceutical interventions like cold compresses and patient education reveals that you are proactive and holistic medical care. Your acknowledging the possibility of changing regimens for different groups of ages again illustrates your knowledge of individualized care.

References

Bae, C., & Bourget, D. (2020). Periorbital Cellulitis. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470408/

Balogh, E. P., Miller, B. T., & Ball, J. R. (2019). The diagnostic process. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK338593/

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PEER RESPONSE 2:

BY: Monique Hazel Domalanta posted Apr 11, 2024, 6:38 P

With the symptoms the ten-year-old patient was presenting such as soft-tissue swelling around the left eye, red eye, and a fever of 102.1°F, it can be concluded that the patient has periorbital cellulitis also known as preseptal cellulitis. Periorbital cellulitis is a type of infection of the skin and soft tissue surrounding one eye; the infection is located on the anterior aspect of the septum of the eye.

Peer Response – Diagnosis and Management of Periorbital Cellulitis in a Pediatric Patient

Periorbital cellulitis is known to be caused by organisms such as Streptococcus pneumoniae, Staphylococcus aureus, and Streptococcus pyogenes. This infection is known to be most common among children and the known causes include either a traumatic injury or other types of upper respiratory infection such as sinusitis, which this particular patient given on the scenario has had a cold before having the presented infection symptoms. In addition, signs of periorbital cellulitis include swelling or edema of one of the eyes, which the 10-year-old patient manifested (Bae & Bourget, 2023; Karageorgos et al., 2023).