OnlineMedEd: Surgery: Trauma - "Head" Flashcards

1
Q

What are the signs of a basilar skull fracture?

A
  • Racoon eyes
  • Battle sign (hematoma behind the ear)
  • Otorrhea or rhinorrhea of CSF
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2
Q

Epidurals commonly occur after what type of injury?

A

Impact (struck head with object or impact of head into object)

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3
Q

The big concerning sign of epidural to look for on CT is ______________.

A

midline shift of the brain

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4
Q

How is epidural treated?

A

Craniotomy with removal of blood

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5
Q

On a CT, epidural presents with ________________.

A

lens-shaped bleeding

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6
Q

The lucid interval occurs in _____-dural hematoma.

A

epi

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7
Q

LOC followed by death is more typical of _____-dural hematomas.

A

sub

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8
Q

How do you treat acute subdural hematoma?

A

Decrease ICP: tilt bed, mannitol, and hyperventilate

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9
Q

Chronic subdural hematomas are seen in ____________.

A

the elderly and those with ETOH abuse after falls or minor trauma

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10
Q

___________ is one of the reasons you get a CT in the evaluation of dementia.

A

Chronic subdural hematomas

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11
Q

Trephination is a treatment for _____________.

A

subdural hematomas

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12
Q

___________ amnesia is typical of concussions.

A

Retrograde (not remembering after the event)

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13
Q

______________ occurs after angular trauma (spinning).

A

Diffuse axonal injury

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14
Q

What is the usual outcome of diffuse axonal injury?

A

Coma

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15
Q

CT scan of those with DAI will show _________.

A

gray-white blurring

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