Periorbital edema

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Periorbital edema

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Overview

Periorbital edema can indicate underlying issues such as:

  • hemodynamic
  • infectious
  • inflammatory
  • mechanical
  • neoplastic

To determine whether the problem is localized or generalized, be sure to take a proper history and physical exam.

Differential Diagnosis

Diagnosis

History and Symptoms

  • History includes:
  • Symptomatic history
  • Exposure history
  • Past medical history
  • Family history
  • Medicinal history

Eyes

  • Full opthamologic exam:
  • Chemosis
  • Cutaneous vesicles
  • Discharge
  • Erythmia
  • Proptosis
  • Tenderness

Laboratory Findings

  • Labs include:
  • Albumin
  • ANA
  • BUN/Creatnine
  • CBCD
  • ESR
  • TSH
  • Urinalysis
  • Culture of eye
  • Gram stain if suspected infection

MRI and CT

  • CT of eyes, head and neck if deemed necessary

Echocardiography or Ultrasound

  • Consider echo if CHF is suspected

Other Diagnostic Studies

  • Consider biopsy of lesions if necessary

Treatment

  • opthalmology consult

Acute Pharmacotherapies

  • Treat with topical antibiotics
  • If an allergy, remove allergen, add cold compress and antihistamines

References


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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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