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The image shows a page from a textbook or educational material. The top portion of the page displays a close-up photograph of a person's face, focusing on their eyes and forehead. The person has significant bruising and swelling around both eyes, with a cut or abrasion on the forehead. The lighting suggests an indoor setting.

Below the photograph, there are sections labeled "Questions" and "Answers." The questions inquire about the eye sign shown, what it signifies, common types of skull fractures, and common presentations of base of skull fractures. The answers section lists several possibilities, with some being checked or circled.

Specifically, under "Answers," "Raccoon eyes" and "Subgaleal bleeding from anterior cranial fossa fracture" are checked. For question 3, options include "Simple linear," "Depressed," "Base of skull," and "Orbital blow out fracture," with "Simple linear" and "Orbital blow out fracture" being circled. For question 4, the presentations of base of skull fracture include "Anterior cranial fossa fracture," "Middle cranial fossa fracture," and "Posterior cranial fossa." The answer for this section appears to be indicated by a checked mark next to a handwritten notation: "CSF, Rhinorrhea, Racoon eye. CSF otorrhea, haemotympanium. Battle's sign." Additional handwritten notes below this are "mastic ecchymosis" and "bruises over mastoid process."

There is no information in the image to suggest a location in the city of Mansehra, Pakistan, or any other specific geographical location. The content is purely educational in nature.
FM-xxDv52

Jun 17, 2026

Mansehra, Pakistan

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The image shows a page from a textbook or educational material. The top portion of the page displays a close-up photograph of a person's face, focusing on their eyes and forehead. The person has significant bruising and swelling around both eyes, with a cut or abrasion on the forehead. The lighting suggests an indoor setting. Below the photograph, there are sections labeled "Questions" and "Answers." The questions inquire about the eye sign shown, what it signifies, common types of skull fractures, and common presentations of base of skull fractures. The answers section lists several possibilities, with some being checked or circled. Specifically, under "Answers," "Raccoon eyes" and "Subgaleal bleeding from anterior cranial fossa fracture" are checked. For question 3, options include "Simple linear," "Depressed," "Base of skull," and "Orbital blow out fracture," with "Simple linear" and "Orbital blow out fracture" being circled. For question 4, the presentations of base of skull fracture include "Anterior cranial fossa fracture," "Middle cranial fossa fracture," and "Posterior cranial fossa." The answer for this section appears to be indicated by a checked mark next to a handwritten notation: "CSF, Rhinorrhea, Racoon eye. CSF otorrhea, haemotympanium. Battle's sign." Additional handwritten notes below this are "mastic ecchymosis" and "bruises over mastoid process." There is no information in the image to suggest a location in the city of Mansehra, Pakistan, or any other specific geographical location. The content is purely educational in nature.

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FM-xxDv52

Jun 17, 2026

Mansehra, Pakistan

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