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NBME 17 Answers

nbme17/Block 0/Question#0 (reveal difficulty score)
14-year-old boy is brought to the emergency ...
Maxillary division of the trigeminal nerve ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1780)
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Maxillary nerve injury (specifically the infraorbital nerve) is an important potential complication of orbital rim fractures (e.g. blow out fractures) [See here]

Here is a picture of the territories of the different branches of the trigeminal nerve for sensation which could help you answer this question as he has numbness under the eye to the upper lip.

Orbital floor fractures can lead to entrapment of the inferior rectus, which can be a cause of pain on upward gaze and diplopia when asked to look upward. This is an ophthalmologic emergency (https://emedicine.medscape.com/article/825772-overview).

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