Answer Page: Medicine -

Periorbital Cellulits (PE Station)

Patient Details

Physical Exam Findings

Task Answers

External Reference

Physical Examination Card

Disclaimer: This images is not sponsored by Dockroach and serves as a representation of the original website from which the link originated. No endorsement or affiliation with Dockroach is implied, and any such inference is disclaimed. This content is presented solely for informational purposes, and the authenticity of its source is affirmed. Click here for to go to the original website.

Patient's Details

Scroll right and left to view the patient's information below.

Opening statement

Appearance (Act out during role play)

Questions to ask the doctor

Expectations from the doctor

DockRoach™ Approach

Scroll right and left to view the answers to tasks below.

Key Concepts Here

Key concepts continued

Reading time techniques

Quickly think about the answers

Allergic reaction

Complications of diabetes

Introduce yourself and ask for the medical student's name

Physical Examination

Focused eye examination

Vision and eye movements

Physical Examination

Sign post to start the examination

Offer pain relief

General inspection

General Inspection Summary for Acute Abdominal Examination

Sample dialogues

General palpation

Sample dialogue

Sample dialogue

Functional assessment

Sample dialogue

Eye Movements (Cranial Nerves III, IV, VI)

Sample dialogue

Ask about double vision

Focused Eye Examination: Conjunctiva, Sclera, and Proptosis

Sample dialogue

Proptosis (Bulging of the eye)

Sample dialogue

Additional examination

Sample dialogue

Sample dialogue

Sign post to start the second task

Differences (Orbital Cellulitis & Periorbital Cellulitis)

Urgent IV antibiotics

Summary of key exam findings

Focus on eye movements

Concluding station

Additional References:

Click on link below.

Patient Information

Explaining topic to patient

Periorbital cellulitis (Patient.info UK)

Swollen eyelid (Patient.info UK)

What to know about periorbital cellulitis (MedicalNewsToday.com US)

Reliable online resources for learning on this topic.

Quick Notes

See diagrams or notes on topic

Orbital and Peri-orbital Cellulitis (GeekyMedics.com)

Anterior Segment Eye Examination – OSCE Guide (GeekyMedics.com)

Orbital and preseptal cellulitis (Patient.info UK)

Periorbital swelling (WikEM.org US)

Orbital infection (Radiopaedia.org)

Useful online resources for learning on this topic.

Guidelines & Articles

Diagnosis and management on topic

Periorbital and orbital cellulitis (The Royal Children’s Hospital Melbourne)

CLINICAL PRACTICE GUIDELINE: Emergency Department Preseptal and Orbital Cellulitis (The Royal Victorian Eye and Ear Hospital)

Clinical Practice Guidelines (CPG) on this topic from the official website.

UpToDate

Detailed reading on topic

Clinical manifestation of preseptal/periorbital cellulitis (UpToDate.com US)

Clinical manifestation of orbital cellulitis (UpToDate.com US)

Patient education: Cellulitis around the eye (The Basics) (UpToDate.com US)

Third party subscription may be required. It's helpful to have this, but not essential.

Tip Here:

Periorbital and orbital cellulitis are common AMC clinical exam scenarios. Prioritize eye examination skills (refer to the task answer guide) and ensure you confidently explain the differences.

This website has used the following for reference in preparing the contents.

Australian Medical Council (AMC) Handbook of Clinical Assessment reprinted 2018 edition

John Murtagh's General Practice 8th edition

Tally O'Conner's Clinical Examination 8th edition

Better Heath Channel

The Royal Women's Hospital Victoria Australia

Gynecology by Ten Teachers 20th edition

Obstetrics by Ten Teachers 20th edition

Paediatric Handbook 10th edition

Suggested reading material for examination preparation by the AMC

The Royal Australian College of General Practitioners

Therapeutic Guidelines (eTG)