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2007 Series : March 20, 2007

December 25, 2007  |  December 18, 2007  |  December 11, 2007  |  December 4, 2007  |  November 27, 2007  |  November 20, 2007  |  November 13, 2007  |  November 6, 2007  |  October 30, 2007  |  October 23, 2007  |  October 16, 2007  |  October 9, 2007  |  October 2, 2007  |  September 25, 2007  |  September 18, 2007  |  September 11, 2007  |  September 4, 2007  |  August 28, 2007  |  August 21, 2007  |  August 14, 2007  |  August 7, 2007  |  July 31, 2007  |  July 24, 2007  |  July 17, 2007  |  July 10, 2007  |  July 3, 2007  |  June 26, 2007  |  June 19, 2007  |  June 12, 2007  |  June 5, 2007  |  May 29, 2007  |  May 22, 2007  |  May 15, 2007  |  May 8, 2007  |  May 1, 2007  |  April 24, 2007  |  April 17, 2007  |  April 10, 2007  |  April 3, 2007  |  March 27, 2007  |  March 20, 2007  |  March 13, 2007  |  March 6, 2007  |  February 27, 2007  |  February 20, 2007  |  February 13, 2007  |  February 6, 2007  |  January 30, 2007  |  January 23, 2007  |  January 16, 2007  |  January 9, 2007  |  January 2, 2007

To see views enlarged, click on the individual pictures...

This 21-year-old woman presents for examination after receiving immediate care for injuries received in a motor vehicle accident where she sustained facial trauma.  She now has double vision, enophthalmos and limitation of movement in the right eye.

1.  Work up should include:   
 

a. determination of visual acuity
b. thorough eye examination
c. testing of sensation of the cheek comparing the right and the left
d.  imaging of the orbit
e. all of the above

2.  The most likely diagnosis is:  
 

a. fourth nerve palsy
b. third nerve palsy
c. partial third nerve palsy
d.  blow out fracture of the orbit
e. none of the above

3.  The most likely treatment would be: 
 
a. orbital surgery to repair an orbital floor fracture
b. appropriate eye muscle surgery
c. prism glasses for the diplopia
d.  several months of observation and re-measure of the ocular misalignment
e. none of the above

For answers to the above, click here on or after March 27, 2007.

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