Author: Craig Brown / Editor: Jamie Cooper / Reviewer: Louise Burrows / Code: MaP4, SLO4 / Published: 25/02/2022
You are on the ED observation unit morning ward round. Your next patient is a 25-year-old man, admitted during the night for “head injury observations” following an alleged assault. The patient describes that he was punched in the face and then knocked to the floor. He tells you that he had his hands up over his head to protect himself from further blows whilst he was on the ground.
There is obvious external bruising to the right side of the face and his eye is swollen shut.
You are able to prise open his eye and discern that there is no proptosis or enophthalmos and that he is able to see you clearly. Further, you establish that he has a full and pain free range of eye movement and no diplopia.
You review his facial x-ray.
Module Content
Zygomatic Complex and Nasal Injury
Anyone who has ever worked in an ED on a Friday night knows that facial injuries are a common presentation
Elbow Injuries
Elbow injuries are common and acute elbow trauma accounts for 2-3% of all visits to the emergency department.
Foot Injuries
Foot injuries are common and because they affect mobility, they can have significant effects on a patient's life and so are important.
5 Comments
VERY COMMON FACIAL INJURY SEEN IN A BUSY ED
Very useful
Excellent learning
Nice, good description
good revision of facial fractures