Page 1 of 2: diplopia and a contusion on the left cheek

dinaridi · Credits: 2770 My Scrapbook

A 25-year-old male presents to the Emergency Department after a fight complaining of diplopia and a contusion on the left cheek. On examination, which one of the following physical findings is most likely?
1) fixed dilated left pupil
2) hemorrhage in anterior chamber of left eye
3) compression deformity of left cheekbone
4) step deformity of left lower orbit
5) bleeding left nostril

honeyam5 · Credits: 2219 My Scrapbook

4-. Injury of the orbital floor,
diplopia may be due to the muscle damage or nerve entrapement

doctormoony · Credits: 6682 My Scrapbook

sairababy · Credits: 1557 My Scrapbook

I agree

agka · Credits: 326 My Scrapbook

Agree with ans 4)

samakht · Credits: 414 My Scrapbook

3 no enophthalmos

honeyam5 · Credits: 2219 My Scrapbook

pls any explanation

maryana · Credits: 7531 My Scrapbook

I think 3

bloater · Credits: 800 My Scrapbook

Suggests zygomatic arch fracture. Answer is 3).

maryana · Credits: 7531 My Scrapbook

I agree with previous suggestions for 4) because on mcc website in Objectives for the qualifying exam under diplopia it says fracture of the orbital floor is a cause of diplopia

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