Emerg Med J doi:10.1136/emermed-2013-202656
  • Images in emergency medicine

Sudden onset proptosis: a rare presentation of sinusitis

  1. Fergal Cummins2,3
  1. 1Graduate Entry Medical School, University of Limerick, Limerick, Ireland
  2. 2Emergency Department, University Hospital Limerick, Limerick, Ireland
  3. 3Retrieval, Emergency and Disaster Medicine Research and Development Unit (REDSPoT), University Hospital Limerick, Limerick, Ireland
  1. Correspondence to Dr Rosa McNamara, Graduate Entry Medical School, University of Limerick, Limerick, Ireland; rosa.mcnamara{at}
  • Accepted 1 April 2013
  • Published Online First 1 May 2013

Case report

A 45-year-old male presented to the emergency department with sudden onset left-sided orbital swelling, ecchymosis and decrease in vision.

Examination revealed left-sided proptosis, a well demarcated blue swelling of his left eye, visual acuity of 6/6 (R) and 6/24 (L), limited eye movements …

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Among patients with minor TBI (GCS 13-15) getting CT scans ≥ 24 hours after injury, what proportion have a traumatic finding?


0.5% - 43% response rate
3% - 41% response rate
10% - 16% response rate

Related original article: PCT head imaging in patients with head injury who present after 24 h of injury: a retrospective cohort study

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