injuries sustained in trauma

Question 1

A 70 year old woman presents with breathlessness, having fallen down stairs onto her left side. The left side of the chest is resonant to percussion and has absent breath sounds.

Answer 1

pneumothorax

Question 2

A 75 year old man trips at home, strikes his head on the coffee table. His Carer notices that five days later he seems a little confused and, as he presents to the A+E one week after this, he has a Glasgow Coma Score of 7.

Answer 2

subdural haematoma

Question 3

A 12 year old child is struck by a car. He is transferred to the resuscitation unit at the local hospital and has a Glasgow Coma Score of 4 and a fixed dilated right pupil. There is clinical evidence of a temporal fracture.

Answer 3

extradural haematoma

Question 4

A footballer is brought to casualty following a heavy challenge. He has a painful swelling in his upper thigh
with limb shortening.

Answer 4

femoral fracture

Question 5

A 50 year old business man brought to the resuscitation area of A+E with a Glasgow Coma Score of 7. He is recorded to have sudden onset of severe occipital pain before collapsing.

Answer 5

SAH