Paramedic Education at Monroe Community College, Rochester, New York

You are caring for a 19 year old male patient who was struck on the head by a baseball bat. The patient is unresponsive, has snoring respirations and can not be roused. VS BP 168/90 P. 56 R. 14. You have taken spinal precautions including full immobilization, and intubated the patient using the inline technique. Pupils are equal at 4 mm with the right pupil reacting more sluggishly to light. Funduscopic exam of the Right eye is shown below:

What is the most likely diagnosis:

This is a normal optic disk.

This is retinal detachment.

This is a hyphema.

This is papilledema.

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