Answer :
The initial management for a 3-year-old boy presenting with symptoms of orbital cellulitis, a potentially vision-threatening condition, should be to consult an ophthalmologist, who can guide further targeted treatment including the use of antibiotics (option B).
The initial step in managing a pediatric patient who presents with these symptoms should most appropriately be:
B Consult ophthalmology
. The symptoms described - a bulging, erythematous, edematous eye with decreased extraocular movement and surrounding eyelid edema - suggest a condition known as orbital cellulitis. This is a serious and potentially vision-threatening condition that requires prompt evaluation and treatment. An ophthalmologist can provide this. While antibiotics (either intravenous or oral) are often part of the treatment plan, they should not be initiated without first consulting an appropriate specialist, as the correct choice of antibiotic can be highly specific to the organism causing the infection.
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