MedPix® Patient Chart Case: 3811

History

Age: 15 :: Gender: boy

Patient History

15 y/o WM 18 hrs s/p "getting kneed" in right eye during football game. Pt c/o right-sided HA, aggravated with light and visual stimuli. No c/o f/c/n/v or diplopia

Exam

Physical Exam and Laboratory

OD exam- unable/unwilling to cooperate with visual acuity, CVF, or retinal examination. Paralysis/limitation of upward and downward gaze. OS exam and remainder of physical exam unremarkable.

Imaging

Imaging - Review Images for PT: 3811

Findings

Summary of Findings

Frontal and lateral skull films unremarkable. No sinus (Waters' view) performed. Orbital fx with inferior rectus above, below and trapped within the orbital floor. Note hematoma in maxillary sinus

Imaging

Imaging - Review Images for PT: 3811

Diffferential

Differential Diagnosis

â€¢ Orbital floor fracture

Imaging

Imaging - Review Images for PT: 3811

Diagnosis

Case Diagnosis

Dx: Orbit Blowout Fracture

Dx Confirmed by: Clinical and Imaging

Dig Deeper - with MedPix™ Turbo Search

Print

- Print Chart

History:
15 y/o WM 18 hrs s/p "getting kneed" in right eye during football game. Pt c/o right-sided HA, aggravated with light and visual stimuli. No c/o f/c/n/v or diplopia

Exam:
OD exam- unable/unwilling to cooperate with visual acuity, CVF, or retinal examination. Paralysis/limitation of upward and downward gaze. OS exam and remainder of physical exam unremarkable.

Findings:
Frontal and lateral skull films unremarkable. No sinus (Waters' view) performed. Orbital fx with inferior rectus above, below and trapped within the orbital floor. Note hematoma in maxillary sinus

Differential:
â€¢ Orbital floor fracture

Diagnosis:
Orbit Blowout Fracture
Confirmed by:Clinical and Imaging

Treatment and Followup:

Discussion:

Tools

End of Tools Tab Panel

MedPix® Patient Chart - Case No: 3811 :: - Review Images

History

Exam

Findings

Diffferential

Diagnosis

Print

Tools