10-08-2007, 05:32 PM
A 23-year-old rugby player is brought to the emergency department by his teammates after sustaining blunt trauma to the left infra-orbital area during a game. The patient complains of significant periorbital pain and says, "I'm seeing flashing lights." Physical examination discloses periorbital swelling. Pupils are equal and reactive. Visual acuity is 20/20 in the right eye and 20/40 in the left eye. Which of the following is the most appropriate step?
A
) Discharge and follow-up with an ophthalmologist within 24 hours
B
) Discharge with a nonsteroidal anti-inflammatory drug (NSAID) and an eye patch
C
) Discharge with corticosteroid eyedrops and a nonsteroidal anti-inflammatory drug (NSAID)
D
) Discharge with pain medication and application of ice packs
E
) Immediate consultation with an ophthalmologist
A
A
) Discharge and follow-up with an ophthalmologist within 24 hours
B
) Discharge with a nonsteroidal anti-inflammatory drug (NSAID) and an eye patch
C
) Discharge with corticosteroid eyedrops and a nonsteroidal anti-inflammatory drug (NSAID)
D
) Discharge with pain medication and application of ice packs
E
) Immediate consultation with an ophthalmologist
A