Basal Skull Fracture vs. Soft Tissue Contusion
Basal Skull Fracture vs. Soft Tissue Contusion Left picture: The subconjunctival hemorrhage militates for a deeply situated injury, e.g. a basal skull fracture.
Right picture: Here, a simple contusion of the soft tissue is likely. In both patients a fracture of the orbita (e.g. in case of motility disturbance of the eye or the confirmation of a fracture by special x-ray) and a contusion of the bulb (ophthalmological examination) must be excluded. Both schoolchildren have sustained a trauma and exhibit a monocular hematoma.
Left picture: In this patient the subconjunctival temporal bleeding of the right eye stands in the foreground, not the monocular hematoma of the same side.
Right picture: Here, no subconjunctival hemorrhage is visible; the monocular hematoma of the left side of the face is more impressive.
The differential diagnosis includes a superficial soft tissue contusion, a contusion of the bulb, a fracture of the orbita, or a basal skull fracture.
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