MDM (with A/P):
Presentation is most consistent with peri-orbital cellulitis given edema and erythema surrounding eye. Concern for concurrent bacterial conjuncitivitis given purulent discharge and injected sclera.
Differential includes:
orbital cellulitis however sufficiently unlikely given no changes in EOM, no proposis, no systemic signs of infection, no evidence of vision changes.
Will empirically treat for peri-orbital and bacterial conjunctivitis with:
-clinda 10mg/kg PO QID
-erythromycin ophthalmic ointment