The Anatomy of a Question
A 26-year-old patient presents with eye pain and blurred vision after being hit in the eye. Layering of blood is noted across the iris. Which of the following is the most likely diagnosis?
Answer choice options
- A. Hyphema
- B. Ruptured globe
- C. Subconjunctival hemorrhage
- D. Traumatic iritis
The incorrect options (distractors) are not totally wrong. These options can be diagramed as follows:
A.Hyphema Blood in the anterior chamber is classic for hyphema, especially in the setting of trauma.
B.Ruptured globe Associated with hyphema, but no evidence of reduced intraocular pressure in vignette.
C.Subconjunctival hemorrhage Usually benign and associated with blood in the conjunctiva, not the anterior chamber.
D.Traumatic iritis Presents with eye pain, blurry vision, and decreased visual acuity. Blood in the anterior chamber is not characteristic.
The Anatomy of an Explanation
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