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Their medical history is definitely the most important thing to review with the staff first, but I learned this early in my career as a nurse when I worked in the ER. We had a patient who was unresponsive after a MVA. The initial assessment for their pupil response didn't show that any were present but when someone arrives after a trauma things can get shifted easily. They were eventually moved up to the ICU where they developed an infection in their eye and the source was a contact lens that had rolled to the back of their eye. Colored contacts will only show on an MRI because they contain an iron compound for the color pigment so the regular lens went unnoticed until the infection started.