Emergency: Pediatric head trauma EXPRESS STOP History and physical exam: Circumstances of injury, predisposing factors, and behavior of the child give clues as to the severity of head injury. Shock, meningism, lacerations, skull tenderness or depression, or blood or CSF from the nose or ...
The skull protects the brain from trauma but it does not absorb much impact from a blow. Direct blows may cause fractures of the skull. There can be acontusionorbruisingand bleeding to the brain tissue directly beneath the injury site. However, the brain can bounce around, or slosh, inside...
Purpose:To determine the rate of clinically impactful body injury among patients who had a fall from standing height with an associated head/neck injury, but without evidence of body injury on physical exam or plain radiographs. We also examine surgical/endovascular intervention related to body injur...
Keywords: head trauma, craniocerebral injuries, minor head injury, classification, management Introduction Mild head trauma scoring 13–15 on the Glasgow Coma Scale (GCS)1 cannot be neglected. This is a very common situation that may lead to severe morbidity or even mortality, depending on the ...
In considering other factors leading to the injury, a non-accidental trauma is low on your differential diagnosis as the story is also corroborated by clinic staff. On your exam, the patient appears well and is tolerating feeds. She is a little fussy when the bottle is removed during your ...
4Memory test abnormalities indicate amnesia. Anterograde amnesia affects short-term memory while retrograde amnesia affects long-term memory. Subacute amnesia may affect short or long-term memory.3,4Brain injury or dysfunction is suggested if > 12 mistakes are made during information testing. However,...
Pressure Injury Assessment Musculoskeletal Assessment Neurovascular Assessment Acute Compartment Syndrome of the Lower Extremities Female Genitourinary Assessment Cervical Motion Tenderness Male Genitourinary Assessment Digital Rectal Examination Digital Rectal Exam ...
Head and neck examination If child inspect for fontanellas Check for nerve function in the facial region (trigeminal and facial) Eye inspection:general appearance (exophtalmus), pupillary light reflex, nystagmus, vestibulo-ocular reflex, conjuntiva. External ear inspection: discharge, ulcers, congenit...
摘要原文 OBJECTIVE: To make pediatricians aware of ideas about how to handle head injury in children under and over 2 years of age, to facilitate understanding and to allow a rethinking about the necessary care when attending children with head injury. SOURCES: A bibliographic review of the them...
2 Other retrospective data suggest that isolated physical exam findings of singed nasal hairs, carbonaceous sputum, and facial burns are poor predictors of smoke inhalation injury.10 Though there are not strict intubation guidelines in the burn setting, several burn centers use criteria that include:...