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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Black Eye, Numbness In Left Cheek With Bloody Nose After Fall On Hard Rock Serious?

My husband fell on a hard rock while out hunting 4 days ago. He has a black eye and numbness in his left cheek.

He has felt something loose in his cheek area, except for today. It seems to have gone away. Also, right after the fall, he had a bloody nose for 2 days. Please advise. Thank you.
Tue, 27 Jun 2017
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Anesthesiologist,  's  Response
Dear friend, I have gone through your question..
Your husband had a history of fall. It would have been better if you have mentioned whether there was any loss of consciousness, vomiting, weakness and seizures after the fall.
The things mentioned in the history given are significant. It seems like there is some facial bone fracture. As there is a black eye, we have to rule out a intracranial brain injury(especially the frontal lobe). Black eye can also be due to facial bone fracture.
Kindly get a non contrast CT scan of the head and CT of face and paranasal sinuses to assess the bones.
Then consult your physician with the reports.
Thank you.
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Is Black Eye, Numbness In Left Cheek With Bloody Nose After Fall On Hard Rock Serious?

Dear friend, I have gone through your question.. Your husband had a history of fall. It would have been better if you have mentioned whether there was any loss of consciousness, vomiting, weakness and seizures after the fall. The things mentioned in the history given are significant. It seems like there is some facial bone fracture. As there is a black eye, we have to rule out a intracranial brain injury(especially the frontal lobe). Black eye can also be due to facial bone fracture. Kindly get a non contrast CT scan of the head and CT of face and paranasal sinuses to assess the bones. Then consult your physician with the reports. Thank you.