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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.
 Learning objective Return for another case
URL: /depts/pstc/backup/paraes7.htm
Updated: May 6, 1999
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This is a normal optic disk.
This is papilledema.
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