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Orbital cellulitis — ABEM Board MCQ

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ModerateHead/Neck/ENT/Ophthalmology emergenciesOrbital cellulitisABEM Board

A 12-year-old boy presents as triage level 2 with fever, painful eye movements, proptosis, and decreased visual acuity after sinusitis. WBC is 19,000/microL. Which of the following is the most appropriate imaging study?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — CT orbits and sinuses with IV contrast

Orbital cellulitis with proptosis, pain with eye movement, and visual symptoms requires urgent contrast imaging and IV antibiotics with specialty consultation.

Reference: AAO orbital cellulitis guidance; ABEM EM Model