Question

A patient presents to the emergency department with alcohol intoxication (precluding a useful history) and eye pain. The extrnal eye exam reveals an eliptically misshapen pupil, and a hyphema is also noted.

asked May 11, 2022 155k views

A patient presents to the emergency department with alcohol intoxication (precluding a useful history) and eye pain. The extrnal eye exam reveals an eliptically misshapen pupil, and a hyphema is also noted. A slice from a head CT (obtained due to patient's unclear history and intoxication). Of the following choices, which is the best next step for the emergency physician evaluating this patient?

1.A. palpation of the globe with mild digital pressure, to determine if increased intraocular pressure is present
2.B. performance of emergency lateral canthal tendon release
3.C. ophthalmology consultation for intraocular foreign body
4.D. topical corneal anesthesia followed by gentle sweep of a cotton swab over the eye to remove corneal foreign body

Tomislav Markovski asked

by Tomislav Markovski

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