[Last Name] 1 DDX/ of lower lid swelling: 1- External hordeolum 2- internal hordeolum 3- Chalazion 4- benign eyelid tumor 5-malignant eyelid tumor.(tumors bcs age not known) [Last Name] 2 Examin for: 1- Temperature. 2- tenderness. 3- pupillary reflex. 4- eye movement. 5- proptosis. 6- visual acuity DDX/ 1- preseptal (Insect bite) or orbital cellulitis 2- internal hordeolum. [Last Name] 3 1- Hot compression 2- Antibiotic. 3- steroid [Last Name] 4 Think of tumors Rx/ Excision and biopsy [Last Name] 5 DX/ Granuloma= excessive proliferation of granulation tissue that usually develops after chronic foreign body irritation, stitch, minor trauma or surgery, Rx/ local incision , steroid