Orbit Blowout Fracture - MedPix™ Patient: 3811

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Clinical Presentation: 15 y.o. boy

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

Physical Examination 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.

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Click on Thumbnail Image for full-size picture. Inventory: || 3811

Orbit Blowout Fracture

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Image 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

Diagnosis

Orbit Blowout Fracture
Diagnosis Confirmed by: Clinical and Imaging

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Continuing Education: CME and CNE

This is not a "Case of the Week"

MedPix™ COW Cases are eligible for Category 1 CME and CNE

Contributor Credits

Submitted by: Joshua S Ritenour -
Case/Image Editor: -

MedPix™ Sponsors

The MedPix™ Medical Image Teaching File Database and Atlas is sponsored by:
The Department of Radiology and Radiological Sciences
Uniformed Services University
Bethesda, Maryland 20814.

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-2 :: Case - 3811 :: - Orbit Blowout Fracture
Medical Image Database, Atlas, and Teaching File
All Cases are Peer Reviewed by an Editoral Panel

Clinical Presentation :: History and Physical Exam - Close/Open | Print -

Clinical Presentation: 15 y.o. boy

- First Image :: Image Inventory - (May Show Answer ...)

Image Findings

Differential Diagnosis

Diagnosis

Treatment and Followup

Topic Discussion

Dig Deeper ... for

Continuing Education: CME and CNE

Contributor Credits

-2 :: Case - 3811 :: - Orbit Blowout FractureMedical Image Database, Atlas, and Teaching File All Cases are Peer Reviewed by an Editoral Panel

Clinical Presentation :: History and Physical Exam - Close/Open | Print -

Clinical Presentation: 15 y.o. boy

- First Image :: Image Inventory - (May Show Answer ...)

Dig Deeper ... for

-2 :: Case - 3811 :: - Orbit Blowout Fracture
Medical Image Database, Atlas, and Teaching File
All Cases are Peer Reviewed by an Editoral Panel