#january2020mccqe1
A 3-year-old girl has had fever and swelling of her right eye for 24 hours. On examination, she looks unwell, has a fever of 38.8℃, right periorbital edema, with Swollen erythematous eyelids. Extraocular eye movements are full with no evidence of chemosis or proptosis. She has no neck stiffness. Which one of the following is the most appropriate next step in management？
(A) Urgent computed tomography（CT）of orbital fossae
(B) Lumbar puncture
(C) Topical chloramphenicol ointment
(D) Oral prednisolone and antihistamines
(E) Intravenous flucloxacilin and ceftriaxone
A 3-year-old girl has had fever and swelling of her right eye for 24 hours. On examination, she looks unwell, has a fever of 38.8℃, right periorbital edema, with Swollen erythematous eyelids. Extraocular eye movements are full with no evidence of chemosis or proptosis. She has no neck stiffness. Which one of the following is the most appropriate next step in management？
(A) Urgent computed tomography（CT）of orbital fossae
(B) Lumbar puncture
(C) Topical chloramphenicol ointment
(D) Oral prednisolone and antihistamines
(E) Intravenous flucloxacilin and ceftriaxone
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