Skull fracture (peds): Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Peds" to "Category:Pediatrics") |
Neil.m.young (talk | contribs) (Text replacement - "fx " to "fracture ") |
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===Pediatric=== | ===Pediatric=== | ||
*fxs are predictors of intracranial inj | *fxs are predictors of intracranial inj | ||
*infants higher risk for | *infants higher risk for fracture since thinner bones | ||
*most fxs have hematomas | *most fxs have hematomas | ||
==Diagnosis== | ==Diagnosis== | ||
*All skull | *All skull fracture require [[Head CT]] | ||
** | ** | ||
<gallery> | <gallery> | ||
File:Skull_fx.JPG| Depressed open skull | File:Skull_fx.JPG| Depressed open skull fracture in a 5 yo M. | ||
</gallery> | </gallery> | ||
Revision as of 06:19, 3 July 2016
Background
Pediatric
- fxs are predictors of intracranial inj
- infants higher risk for fracture since thinner bones
- most fxs have hematomas
Diagnosis
- All skull fracture require Head CT
Depressed open skull fracture in a 5 yo M.
Differential Diagnosis
Maxillofacial Trauma
- Ears
- Nose
- Oral
- Other face
- Zygomatic arch fracture
- Zygomaticomaxillary (tripod) fracture
- Related
Management
- ABX indicated for:
- Open fx
- Depressed fx
- Involves sinus
- Leads to pneumocephalus
- Ceftriaxone 2gm IV + metronidazole 500mg +/- vancomycin 1gm IV