A 10-year-old female presents with eyelid edema, exopthalmos, conjunctivitis, and purulent discharge from both eyes. Physical examination reveals fever, decreased range of motion of the eye muscles, and sluggish pupillary response. CT scan reveals broad infiltration of the orbital soft tissue. Based on the patient’s presentation, physical examination, and test results, which of the following is the most likely diagnosis?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 10-year-old female presents with eyelid edema, exopthalmos, conjunctivitis, and purulent discharge from both eyes. Physical examination reveals fever, decreased range of motion of the eye muscles, and sluggish pupillary response. CT scan reveals broad infiltration of the orbital soft tissue. Based on the patient’s presentation, physical examination, and test results, which of the following is the most likely diagnosis?