H.P.I.-M.Z 9

1. H.P.I.-M.Z 9/9-11a.m. 40y/o male with swelling,redness,and drainage from the left eye for last few days. E.O.M.�s intact.�No suspicion of deep infection at this time�. Treatment Keflex 500mg Q 6hr P.O. and check with Ophthalmology in the a.m. (1gram of Rocephin i.m.) This patient was seen in the ER by the ER physician. He reported no deep infection to the Ophthalmologist and asked if Cephalexin was appropriate. The patient refused to wait to see the Ophthalmologist, so he was given Rocephin im and told to see Ophthalmology the next day.This patient was seen in the ER by the ER physician. He reported no deep infection to the Ophthalmologist and asked if Cephalexin was appropriate. The patient refused to wait to see the Ophthalmologist, so he was given Rocephin im and told to see Ophthalmology the next day.

2. M.Z. 9/10 2am 2a.m. 9/10 M..Z. referred from Sauk City E.R. with severe headache,periorbital pain, proptosis,lateral globe displacement,and restricted adduction. (-) A.P.D. V.A. 20/80 Cat scan:Ethmoid/Maxillary sinusitis and 25 m.m.x11m.m. subperiosteal abscess P.M.H. 1996 Mandibular fracture & Ethmoid (medial wall) fracture(Supramid implant). Dental work 4 days ago He did, but at 2 am. Fortunately, he did not have an afferent pupillary defect, or Marcus Gunn pupil, so there was time to preserve his vision.He did, but at 2 am. Fortunately, he did not have an afferent pupillary defect, or Marcus Gunn pupil, so there was time to preserve his vision.

3. Subperiosteal Abcess