pt was assaulted and hit one time on the side of his face - | Figure 1
pt was assaulted and hit one time on the side of his face - resulting in an orbital floor blow out/globe rupture/optic nerve tenting - underwent emergent canthotomy - eventually OR once swelling goes down. On arrival patient was able to see out of eye - pupils reactive - within 2 minutes unable to see and pupil fixed
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Interesting white pupil case I'd like to get some thoughts on.
34 year old black female that reports she's never been able to see well out of this eye.
Was light perception only today. Other eye was -10.00 correctable to 20/25.
Patient's systemic health was unremarkable.
I thought congenital cataract at first but it appears more fibrous in nature. Perhaps some type of embryonic abnormality?
Intraocular pressure was 12 OU.](https://app.figure1.com/case-detail/0309c1a4-6cfb-4778-9085-270d90ee1ee6)
Patient admitted through AE after head on collision RTA at 100mph. Trauma scan carried out. Pupils fixed and dilated on the table. Patients CT brain showed coning. Can peg fractures be repaired? And if pupils weren't fixed and dilated what is the probability this patient would recover and lead a normal life??](https://app.figure1.com/case-detail/0dd62f3f-327c-44a5-a6cb-a6ea108b3931)
65 year old female post fall down 5 stairs both pupils fixed 5 and 7 mm gcs 3, bagged in transport by ems. Intubated on arrival and sent for ct. What do you see?](https://app.figure1.com/case-detail/1e45f42d-8aca-40bc-bc99-f821fbb00800)
Smallest #pupils I have ever seen in pt given #Opioids in the #icu. Hard to see in this image, but measured <1mm.](https://app.figure1.com/case-detail/5acb62fe-af08-4787-ace6-7d72f5efe379)
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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)
A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)
patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)