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A 22-year old male was involved in an altercation at a pool hall during which he was struck in the face repeat?
A 22-year old male was involved in an altercation at a pool hall during which he was struck in the face repeatedly with a pool cue. He is awake and responds appropriately to questions. Bruising is present around both of his eyes, and blood is draining from his nose. When you check his eyes and pupil response, you find that his right pupil is fixed and dilated while the left pupil reacts briskly to light. visual acuity in the right eye is unaffected. When you check extraocular muscle function, you discover that the left eye has a full range of movement. The right eye is able to look left and up-and-to-the left with difficulty. He is unable to move his right eye in any other direction. What problem accounts for this patient’s presentation? Justify your answer based on your understanding of nerve anatomy and function.
Why?-
- If this is a real person call 911 ASAP!!
- If this is a homework question, you’re going to have to learn it eventually, so stop having people do it for you.
- If this is just a educational sceneario then see my answer below.
Answer:
1: Orbital Fx- most likely the Zygomatic bone, along with the Lacrimal & Ethmoid bones
2: Probable damage to right cranial nerve III, IV & VI appear undamaged
3: Possible additional damage to the extraoccular muscles
4: Possible closed head injury
- David
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