Diferencia entre revisiones de «Skull fracture (peds)»
(Text replacement - "fx " to "fracture ") |
(Text replacement - "fx" to "fracture") |
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| Línea 2: | Línea 2: | ||
===Pediatric=== | ===Pediatric=== | ||
* | *fractures are predictors of intracranial inj | ||
*infants higher risk for fracture since thinner bones | *infants higher risk for fracture since thinner bones | ||
*most | *most fractures have hematomas | ||
==Diagnosis== | ==Diagnosis== | ||
| Línea 10: | Línea 10: | ||
** | ** | ||
<gallery> | <gallery> | ||
File: | File:Skull_fracture.JPG| Depressed open skull fracture in a 5 yo M. | ||
</gallery> | </gallery> | ||
| Línea 18: | Línea 18: | ||
==Management== | ==Management== | ||
*ABX indicated for: | *ABX indicated for: | ||
**Open | **Open fracture | ||
**Depressed | **Depressed fracture | ||
**Involves sinus | **Involves sinus | ||
**Leads to pneumocephalus | **Leads to pneumocephalus | ||
Revisión del 08:35 9 jul 2016
Background
Pediatric
- fractures are predictors of intracranial inj
- infants higher risk for fracture since thinner bones
- most fractures have hematomas
Diagnosis
- All skull fracture require Head CT
- Skull fracture.JPG
Depressed open skull fracture in a 5 yo M.
Differential Diagnosis
Maxillofacial Trauma
- Ears
- Nose
- Oral
- Other face
- Zygomatic arch fracture
- Zygomaticomaxillary (tripod) fracture
- Related
Management
- ABX indicated for:
- Open fracture
- Depressed fracture
- Involves sinus
- Leads to pneumocephalus
- Ceftriaxone 2gm IV + metronidazole 500mg +/- vancomycin 1gm IV