Subdural Hematoma Flashcards

1
Q

Where is a subdural hematoma located

A

Arachnoid space

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2
Q

Is a subdural hematoma venous or arterial in origin

A

Venous

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3
Q

What does a head CT show in subdural hematomas

A

Crescent shape

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4
Q

What is the difference between acute, subacute, and chronic SDH

A

Acute <24hours
Subacute 24H-2 weeks
Chronic >2 weeks

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5
Q

What are risk factors for SDH

A

Hypertension, ETOH, smoking, drugs, and age

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6
Q

Clinical findings of SDH

A

Steady decline in LOC
Ipsilateral fixed, dilated pupil
Contralateral hemiparesis/hemiplegia

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7
Q

How to determine if an SDH is operative

A

Operative with crainiotomy/evacuation or Burr holes if hematoma is >10mm or midline shift >5mm

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