Question

A 63-year-old patient presents for evaluation of fever. She reports that 3 days ago she went to the urgent care and was diagnosed with acute bacterial rhinosinusitis (ABRS). She was given a prescription for antibiotics which she is taking as ordered, but is concerned because she has a fever today. Which of the following findings suggests a serious complication of ABRS?

Tender preauricular lymph nodes
Foul-tasting post nasal drip
Facial tenderness
Eyelid erythema and edema

Answer 1

Eyelid erythema and edema suggests a serious complication of acute bacterial rhinosinusitis.

Step-by-step explanation:

The finding that suggests a serious complication of acute bacterial rhinosinusitis (ABRS) is Eyelid erythema and edema. While tender preauricular lymph nodes, foul-tasting post nasal drip, and facial tenderness are common symptoms of ABRS, eyelid erythema and edema indicate the infection has spread beyond the sinuses and may be causing orbital cellulitis.