evaluation is best performed under slit-lamp exam
Blood in anterior chamber
May only see difference in color of irises if patient is supine because blood layering is gravity dependent
Blood in anterior chamber only visible on slit lamp is a microhyphema
Vision loss / Acuity changes
Inspect the lids, lashes, lacrimal ducts, and cornea
Corneal abrasions often co-exist
Assess direct and consensual pupillary response for the presence of a relative afferent pupillary defect
Assess for Ruptured Globe which is associated with high energy mechanisms (shrapnel, BB guns, paintballs, etc)
Check intraocular pressure after Globe Rupture is excluded
Inquire about bleeding diathesis, anticoagulant/NSAID/aspirin use
May only see difference in color of irises if patient is supine because blood layering is gravity dependent
Blood in anterior chamber only visible on slit lamp is a microhyphema
Corneal abrasions often co-exist
Traumatic hyphema
Ears
Subdural empyema
Auricular hematoma
Subdural hemorrhage
Nose
Epidural hemorrhage
Nasal fracture