A 50-year-old male is ejected from a vehicle at high speed. He has a GCS of 7, bilateral periorbital haematoma (raccoon eyes), mastoid bruising (Battl...

Question

A 50-year-old male is ejected from a vehicle at high speed. He has a GCS of 7, bilateral periorbital haematoma (raccoon eyes), mastoid bruising (Battle's sign), and clear fluid leaking from his right ear. What is the collective significance of these signs?

Accepted Answer

Basal skull fracture with CSF otorrhoea

Answer

Severe facial fracture with ear laceration

Answer

Nasal fracture with serous rhinorrhoea

Answer

Coagulopathy with spontaneous bruising

Answer

Bilateral orbital fractures

uk-dipimc MCQ (SBA): Basal Skull Fracture

A 50-year-old male is ejected from a vehicle at high speed. He has a GCS of 7, bilateral periorbital haematoma (raccoon eyes), mastoid bruising (Battle's sign), and clear fluid leaking from his right ear. What is the collective significance of these signs?