Case 2

A previously well 43 year old woman is brought to the ED following a fall at home. She slipped on a wet floor and banged her face on a chair as she fell. She was not knocked out, recalls the incident and has not vomited since the fall.

On examination she is alert and orientated with marked tenderness and swelling over both upper cheeks.

You decide that you need a radiological investigation to exclude a fracture. Put these investigations in order of their increasing ability to identify a fracture of the midface.

Select the correct order of increasing accuracy of diagnosis from the worst (one) to the best (four) .

An x-ray is ordered (Click on the x-ray to enlarge).

Indicate the correct diagnosis from the choices available.

When considering other possible investigations that could be performed on this patient, match the type of investigation to the possible injury.

Select the possible injury from the drop down menus.