Preseptal cellulitis

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Orbital signsChoose any

GeneralChoose any

Likely sourceChoose one

AntibioticChoose one

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Counseling

Swelling and redness should start to improve within a day or two of starting antibiotics. Recommended supportive care with tylenol or motrin as needed for pain, with an emphasis on warm compresses. Go to the emergency department right away for pain with eye movement, trouble moving the eye, a bulging eye, vision changes, severe headache, vomiting, or swelling that keeps spreading. Return precautions given including fever, swelling that is not improving, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Preseptal cellulitis
• No pain with eye movement, limited eye movement, proptosis, or vision change
• Well appearing and tolerating oral intake
• Augmentin
• Home with oral antibiotics
• Follow up in 24-48 hours to recheck eyelid swelling

Swelling and redness should start to improve within a day or two of starting antibiotics. Recommended supportive care with tylenol or motrin as needed for pain, with an emphasis on warm compresses. Go to the emergency department right away for pain with eye movement, trouble moving the eye, a bulging eye, vision changes, severe headache, vomiting, or swelling that keeps spreading. Return precautions given including fever, swelling that is not improving, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Orbital signs negative (hidden on the ED branch)
Well appearing, tolerating oral intake
Oral antibiotics outpatient with follow-up
Anti-MRSA coverage where prevalent
Orbital concern: ED and imaging; admission for worsening

Return precautions in the template

feverswelling that is not improving

Sources

Pediatric Care Online: Preseptal and Orbital Cellulitis

Few formal guidelines cover this topic, so the template also leans on expert opinion.