MedPix Medical Image Database

COW - Case of the WeekCase Contributor: Joshua S RitenourAffiliation: Uniformed Services University

MedPix No: 3811 - HistoryPt Demographics: Age = 15 y.o. Gender = boy15 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

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MedPix No: 3811 - EXAM & LABSOD 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.

Orbit Blowout Fracture

Orbital fx with inferior rectus above, below and trapped within the orbital floor. Note hematoma in maxillary sinus

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Orbit Blowout Fracture

Orbital fx with inferior rectus above, below and trapped within the orbital floor. Note hematoma in maxillary sinus

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Orbit Blowout Fracture

Orbital fx with inferior rectus above, below and trapped within the orbital floor. Note hematoma in maxillary sinus

Downloaded by (-1)

Orbit Blowout Fracture

Orbital fx with inferior rectus above, below and trapped within the orbital floor. Note hematoma in maxillary sinus

Downloaded by (-1)

Orbit Blowout Fracture

Orbital fx with inferior rectus above, below and trapped within the orbital floor. Note hematoma in maxillary sinus

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FINDINGSFrontal 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 DIAGNOSISWhat is your Differential Diagnosis? Orbital floor fracture

Diagnosis: Orbit Blowout FractureDx Confirmed by: Clinical and Imaging

DISCUSSION