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Pediatric Rounds Review Questions
Headache and Forehead Swelling in a 9-Year-Old Boy with Sinusitis

Answer 2

  1. CT of the brain, including orbits and sinuses. This patient’s symptoms indicate either a periorbital or orbital cellulitis, especially in light of the antecedent history of sinusitis. Differentiation between these two conditions is essential for proper treatment. Although an MRI scan allows the determination of whether or not there is orbital involvement, CT scanning remains the gold standard and has the added advantage of being rapid and more cost effective.

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