Head Injury Flashcards

1
Q

Criteria for 1 hr CT head

A
GCS <13 on initial assessment 
GCS <15 2 hrs post trauma 
Suspected open or depressed skull fracture 
Evidence of basal skull fracture 
Post event seizure 
New focal neurology 
>1 episode of vomiting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

GCS <13 on initial assessment

A

CT head 1 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

GCS <15 2 hrs post trauma

A

CT head 1 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Suspected open or depressed skull fracture

A

CT head 1 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Evidence of basal skull fracture

A

CT head 1 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Post event seizure

A

CT head 1 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

New focal neurology

A

CT head 1 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

> 1 episode of vomiting

A

CT head 1 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Criteria for 8 hr CT head

A

Patient experienced LOC or amnesia since trauma + 1 of 4 criteria
Age >65
Bleeding/clotting disorders
Dangerous mechanism of injury
>30 mins retrograde amnesia from the event

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Patient experienced LOC or amnesia since trauma + 1 of 4 criteria

A

CT head 8 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Patient experienced LOC or amnesia since trauma + Age >65

A

CT head 8 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Patient experienced LOC or amnesia since trauma + Bleeding/clotting disorders

A

CT head 8 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Patient experienced LOC or amnesia since trauma + Dangerous mechanism of injury

A

CT head 8 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Patient experienced LOC or amnesia since trauma + >30 mins retrograde amnesia from the event

A

CT head 8 hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Extra dural haematoma location

A

Between dura mater + skull
Temporal region
Middle meningeal artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Between dura mater + skull
Temporal region
Middle meningeal artery

A

Extra dural haematoma

17
Q

Extradural cause

A

Acceleration deceleration trauma

Blow to side of head

18
Q

Extradural shape

A

Biconvex

Lemon

19
Q

Biconvex

Lemon

A

Extradural

20
Q

Extradural presentation

A

Increased ICP features

Lucid interval

21
Q

Sub dural location

A

Outermost meningeal layer

Around frontal and parietal lobes

22
Q

Outermost meningeal layer

Around frontal and parietal lobes

A

Subdural

23
Q

Subdural cause

A

Old age
Alcoholism
Anticoagulation

24
Q

Subdural on imaging

A

Crescentic

Banana

25
Q

Subdural presentation

A

Slow onset

Fluctuating confusion/consciousness

26
Q

Crescentic

Banana

A

Subdural

27
Q

Intracerebral location

A

Blood within substance of brain

28
Q

Blood within substance of brain

A

Intracerebral

29
Q

Intracerebral cause

A
Hypertension 
Vascular lesion
Cerebral amyloid angiopathy 
Trauma 
Brain tumour 
Infarct
30
Q

Intracerebral on CT

A

Hyper density (bright lesion)