There is no proptosis. There is ecchymosis and swelling of his left lower eyelid. There is mild left periorbital swelling but no obvious tenderness or step off deformity on palpation. The cornea, lens and anterior chamber are clear. There is no hyphema.
Pupils are equal and reactive.
EOM's are normal in the right eye. Sensation in the distribution of the infraorbital nerve is intact. TM's clear, no blood. There is blood in his nares. No septal swelling is noted.