young patient fell from horse attended ED after four days wi | Figure 1

nimih70

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Young patient fell from horse attended ED after four days with diplopia and headaches. CT scan facial bones shows blow out fracture of orbital floor with tissue extending into maxillary antrum.

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CT scans taken before and after repair of left open globe. CT prior to repair is a good idea in most traumatic cases to rule out intraocular foreign body. Post-repair CT was done for closer look at orbits due to concern about orbital fracture (not present). Although globe reformed nicely, due to total retinal detachment (faintly visible!), prognosis is poor.

Fractured left orbital](https://app.figure1.com/case-detail/8222aecc-ef02-4f3e-a5b2-e3f359b530da)

19 yo Male presented to the emergency department with face swelling, headache, and left eye pain. He was allegedly assaulted by a friend who smashed his head (L side) into a wall. on exam, he had significant soft tissue swelling across his head/face, worse on the L side... to the point that he could barely open his L eye. However, once he was able to open his L eye, he had entrapment of the inferior rectus. This is one image of his CT face. Sorry I wasn't able to upload more images!

16 y/o "Ralph" with a BB in the middle of his globe](https://app.figure1.com/case-detail/89dedcf7-e22a-46ed-b306-a241b8434d02)

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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?