Skull fracture (peds): Difference between revisions
(Text replacement - "fx" to "fracture") |
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===Pediatric=== | ===Pediatric=== | ||
*fractures are predictors of intracranial | *fractures are predictors of intracranial injury | ||
*infants higher risk for fracture since thinner bones | *infants higher risk for fracture since thinner bones | ||
*most fractures have hematomas | *most fractures have hematomas | ||
Revision as of 01:10, 14 July 2016
Background
Pediatric
- fractures are predictors of intracranial injury
- infants higher risk for fracture since thinner bones
- most fractures have hematomas
Diagnosis
- All skull fracture require Head CT
- Skull fracture.JPG
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 fracture
- Depressed fracture
- Involves sinus
- Leads to pneumocephalus
- Ceftriaxone 2gm IV + metronidazole 500mg +/- vancomycin 1gm IV