Answer Page:

Surgery - Facial Trauma (PE Station)

Patient Details

Physical Exam Findings

Task Answers

External Reference

Physical Examination Card

Disclaimer: This images is not sponsored by Dockroach and serves as a representation of the original website from which the link originated. No endorsement or affiliation with Dockroach is implied, and any such inference is disclaimed. This content is presented solely for informational purposes, and the authenticity of its source is affirmed. Click here for to go to the original website.

Patient's Details

Scroll right and left to view the patient's information below.

Opening statement

Appearance (Act out during role play)

Questions to ask the Doctor

Expectations from the doctor

DockRoach™ Approach

Scroll right and left to view the answers to tasks below.

Key Concepts Here

Key concepts continued

Reading time techniques

Reading time techniques (continued)

Qucikly think about the answers

Differentials for Facial Trauma

$Mandibular fracture$

TMJ Dislocation

Introduce yourself and ask for the patient's name

Physical Examination

Sign post to start with introduction

Sample dialogue to the patient

Facial inspection

General appearance of the face

Significant swelling on the right side of the face

severe swelling around the right eye

no obvious visible deformity of the nasal bridge or septum

pronounced swelling over the right cheekbone and zygomatic area

Upper lip swollen and bruised

Swelling around the lower jaw line

Summary of inspection

Facial Palpation

Orbit/Orbital Rim

$Nasal fracture$

Temporomandibular Joint (TMJ)

Functional assessment

Visual activity

Facial Nerve (CN VII) Function

Sensory function

Additional examination (as necessary)

Full neurological examination

Sign post to start the second task

Clinical feature

Further reassurance

Concluding station

Additional References:

Click on link below.

Patient Information

Explaining topic to patient

Orbital fractures (NHS University Hospitals Sussex UK)

Zygomatic arch and orbital fractures (Patient.info UK)

Reliable online resources for learning on this topic.

Quick Notes

See diagrams or notes on topic

Facial examination (Surgery 101/ Dr. James Wolfli, University of Alberta)

Cranial nerve exam (GeekyMedics.com)

Fundoscopy (Ophthalmoscopy) – OSCE Guide (GeekyMedics.com)

Hearing Ear Examination OSCE Guide (GeekyMedics.com)

Nasal Examination OSCE Guide (GeekyMedics.com)

Useful online resources for learning on this topic.

Guidelines & Articles

Diagnosis and management on topic

Facial fractures (Radiopaedia.org)

Orbital blow-out fracture (Radiopaedia.org)

Accuracy of liner-probe ultrasonography in the diagnosis of infraorbital rim fractures (The Ultrasound Journal US)

Blunt Orbital Trauma (RACGP.org.au)

Maxillofacial trauma (RACGP.org.au)

Clinical Practice Guidelines (CPG) on this topic from the official website.

UpToDate

Detailed reading on topic

Orbital Fractures (UpToDate.com US)

General and Specific Examination of Facial Trauma in Adults (UpToDate.com US)

Third party subscription may be required. It's helpful to have this, but not essential.

Tip Here:

Be structured in your examination steps, as shown in the task answers. (Face-to-face exam) If the examiner asks you to skip certain tests, don’t get flustered/anxious—it’s often to manage time. Just continue with confidence.

This website has used the following for reference in preparing the contents.

Australian Medical Council (AMC) Handbook of Clinical Assessment reprinted 2018 edition

John Murtagh's General Practice 8th edition

Tally O'Conner's Clinical Examination 8th edition

Better Heath Channel

The Royal Women's Hospital Victoria Australia

Gynecology by Ten Teachers 20th edition

Obstetrics by Ten Teachers 20th edition

Paediatric Handbook 10th edition

Suggested reading material for examination preparation by the AMC

The Royal Australian College of General Practitioners

Therapeutic Guidelines (eTG)