Physical Address

304 North Cardinal St.
Dorchester Center, MA 02124

Fever And Forehead Swelling


Consult Page

7 y/o male with 2 weeks of fever and 1 day of acute midline forehead swelling

Initial Imaging

Fig. 57.1, Axial head CT without contrast demonstrates left paranasal sinusitis marked by opacification of the frontal sinus, ethmoid air cells, and sphenoid sinus with extension of infection/inflammation into the frontal extracranial soft tissues.

Fig. 57.2, Axial MRI of the brain.

Walking Thoughts

  • ■

    What is the patient’s GCS and neurological status?

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    What are the patient’s vitals?

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    Does the patient have any risk factors for sinus infection?

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    Does the patient have any signs or symptoms of orbital involvement, intracranial involvement, meningitis, or encephalitis?

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    Has the patient been on any antibiotics?

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    What other services (otolaryngology, ophthalmology) have seen the patient?

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