MCQ – 87893


A 12-year-old boy involved in a motor vehicle accident 3 months ago presents with a complaint of left-sided epiphora since the accident, along with a 1-week history of fever and progressive swelling, redness, and pain in the left medial canthal region with mucopurulent discharge from the medial canthus

Appropriate initial workup of this patient includes all of the following except:


a complete ophthalmic exam


CT scan of the orbits and sinuses


probing and irrigation of the left nasolacrimal system


culture and Gram stain of the medial canthal discharge

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