Trauma

Question 1

what is an orbital blow out #?

Answer 1

fracture of one of the walls of the orbit but the orbital rim remains intact

Question 2

radiological sign of blow out #?

Answer 2

tear drop sign (herniation of orbital fat)

Question 3

clinical features of an orbital blow out #?

Answer 3

diplopia
oedema
enophthalmos
decreased eye movements
decreased visual acuity

Question 4

imaging of choice for skull #?

Answer 4

MRI

Question 5

investigations for a nasal #?

Answer 5

NONE, diagnosis on clinical grounds

Question 6

what must be excluded in a nasal # and why?

Answer 6

septal haematoma

septum has no blood supply so will necrose

Question 7

what #can cause epistaxis?

Answer 7

anterior ethmoid

Question 8

what # can cause anosmia?

Answer 8

cribiform plate

Question 9

what # can cause CSF leak?

Answer 9

cribiform plate

Question 10

management of a pinna haematoma

Answer 10

aspirate/incision and drainage/pressure dressing

Question 11

what is Battle’s sign and what does it indicate?

Answer 11

mastoid ecchymosis

indicates # of posterior cranial fossa

Question 12

where is a longditudinal # of the temporal bone?

Answer 12

paralell to the long axis of the petrous bone

Question 13

clinical of longditudinal # of the temporal bone?

Answer 13

lateral blows
bleeding
CSF otorrhoea
conductive deafness

Question 14

where is a transverse # of the temporal bone?

Answer 14

right angles to the long axis of the petrous bone

Question 15

clinical of transverse # of the temporal bone?

Answer 15

frontal blows
sensorineural hearing loss
CN7 palsy
vertigo