Instructions
You are a medical student on placement in the emergency department. Your next patient is Neil Hobbs, 24, a landscaper, who has double vision two days after being punched in the left eye; his CT shows a fracture of the floor of the left eye socket and he has been told only that a bone is broken.
Take a focused history
Explain the diagnosis and your management plan to the patient
- You do not need to examine the patient
- You do not need to summarise to the examiner
ED registrar's eye findings (today)
Acuity 6/6 each eye; pupils equal, no afferent defect. Left lids bruised, settling; eye not bulging or sunken. Left eye does not look up fully; vertical double vision on upgaze; other movements full. Reduced feeling over left cheek, side of nose and upper lip. Eye pressures and fundi normal.