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.
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