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A 7-Year-Old Boy Is Brought to the Emergency Department by His

question 1016

Multiple Choice

A 7-year-old boy is brought to the emergency department by his parents due to left eye swelling and redness. The patient has had left eye pain for 2 days and the pain worsened today. He has no symptoms in his right eye. He has allergic rhinitis, for which he takes intranasal steroids. The patient developed sinusitis approximately 3 weeks ago and was treated with amoxicillin-clavulanate. He has no other medical conditions and has had no surgeries. The patient's mother was diagnosed with left leg deep vein thrombosis after a recent transatlantic flight. Temperature is 39.2 C (102.5 F) , blood pressure is 102/70 mm Hg, pulse is 94/min, and respirations are 18/min. The left eyelid is erythematous, tender, and swollen. The conjunctiva is hyperemic. Movement of the left eye causes pain. Visual acuity and pupillary reaction are normal bilaterally. Purulent mucus is draining from the nose, and nasal turbinates are swollen and erythematous. Examination of the right eye is unremarkable, and facial sensation is intact. Laboratory results are as follows: Which of the following is the best next step in management of this patient?

Definitions:

Corpus Callosum

A broad band of nerve fibers that connects the left and right hemispheres of the brain, facilitating communication between them.

Cerebral Cortex

The cerebral cortex is the outermost layer of the brain, involved in complex brain functions such as thought, memory, consciousness, language, perception, and attention.

Peripheral Nervous System

Part of the nervous system outside the brain and spinal cord, including all the nerves that extend to the rest of the body, responsible for transmitting sensory and motor information.

Somatic Nervous System

The part of the peripheral nervous system that handles voluntary control of body movements through the control of skeletal muscles.