OnlineMedEd: Surgery: Trauma - "Head" Flashcards
What are the signs of a basilar skull fracture?
- Racoon eyes
- Battle sign (hematoma behind the ear)
- Otorrhea or rhinorrhea of CSF
Epidurals commonly occur after what type of injury?
Impact (struck head with object or impact of head into object)
The big concerning sign of epidural to look for on CT is ______________.
midline shift of the brain
How is epidural treated?
Craniotomy with removal of blood
On a CT, epidural presents with ________________.
lens-shaped bleeding
The lucid interval occurs in _____-dural hematoma.
epi
LOC followed by death is more typical of _____-dural hematomas.
sub
How do you treat acute subdural hematoma?
Decrease ICP: tilt bed, mannitol, and hyperventilate
Chronic subdural hematomas are seen in ____________.
the elderly and those with ETOH abuse after falls or minor trauma
___________ is one of the reasons you get a CT in the evaluation of dementia.
Chronic subdural hematomas
Trephination is a treatment for _____________.
subdural hematomas
___________ amnesia is typical of concussions.
Retrograde (not remembering after the event)
______________ occurs after angular trauma (spinning).
Diffuse axonal injury
What is the usual outcome of diffuse axonal injury?
Coma
CT scan of those with DAI will show _________.
gray-white blurring