Question

Wight Goodman, Patient was admitted to the floor last night from the ER for an orbital fracture. He was hit in the left eye by a softball yesterday. Apparently he was pitching, and the batter hit a line drive hitting him in the right side of the face. They applied some ice to his face, and he decided to go to the post game keg party instead of coming to the ER. The patient stated that there was significant swelling, but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. The Maxillofacial surgeon was consulted, and they will see him this morning. They were not concerned as his intraocular pressure was normal in the ER. There is significant edema and discoloration to the left side of his face, and his left eye is almost completely swollen shut. His visual acuity is diminished, and the whites of his eyes are hemorrhaged. His pain has been well controlled with IV morphine 4 mg, q3 hours. He has a 20g SL to his right hand, that was started in the ER. He has no other health concerns. He's being admitted for pain control, close observation of his intralocular pressure, and head injury.

Answer 1

The swelling related to meningitis can push on the optic nerve, leading to a loss of vision.

Step-by-step explanation:

In the given case, the patient is experiencing an orbital fracture after being hit in the left eye by a softball. The swelling related to meningitis can push on the optic nerve, leading to a loss of vision. Meningitis itself is an infection that can cause inflammation and swelling around the brain and spinal cord. It can be caused by bacteria, viruses, or other microorganisms. The treatment for meningitis depends on the specific cause and may involve antibiotics or antiviral medications. In severe cases, hospitalization may be required for close monitoring and supportive care.