TY - JOUR T1 - Unilateral perirobital swelling JF - Emergency Medicine Journal JO - Emerg Med J SP - 229 LP - 241 DO - 10.1136/emermed-2020-210932 VL - 39 IS - 3 AU - Geng Ju Tuang AU - Farah Dayana Zahedi AU - Poh Ling Lim Y1 - 2022/03/01 UR - http://emj.bmj.com/content/39/3/229.abstract N2 - A healthy 35-years-old man reported problem of right periorbital pain for 5 days. His condition, however, deteriorated with worsening periorbital swelling for 2 days. There was neither history of nasal symptoms nor recent local trauma.Physical examination demonstrated an erythematous and shiny right periorbital skin (figure 1). It was soft and tender on palpation, suggestive of periorbital cellulitis. The extraocular muscle movement, lacrimal sac examination and visual acuity were normal. He had poor dental hygiene, with tenderness elicited over the right upper second and third molar on percussion test. His orthopantomography (OPG) is shown in figure 2.Figure 1 Clinical photography of the eyes. The skin overlying the right periorbital region is inflamed … ER -