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:

Funduscopic view

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