Skull fracture (peds): Difference between revisions
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==Background== | ==Background== | ||
*Predictor of intracranial injury | |||
*Infants are at higher risk due to thinner calvarium | |||
*Most skull fractures have overlying hematoma | |||
=== | ==Clinical Features== | ||
* | |||
* | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Maxillofacial trauma DDX}} | {{Maxillofacial trauma DDX}} | ||
==Evaluation== | |||
*Head CT | |||
==Management== | ==Management== | ||
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**Leads to pneumocephalus | **Leads to pneumocephalus | ||
*[[[[Ceftriaxone]]]] 2gm IV + [[metronidazole]] 500mg +/- [[vancomycin]] 1gm IV | *[[[[Ceftriaxone]]]] 2gm IV + [[metronidazole]] 500mg +/- [[vancomycin]] 1gm IV | ||
==Disposition== | |||
==See Also== | ==See Also== | ||
*[[Head Trauma]] | *[[Head Trauma]] | ||
==External Links== | |||
==References== | |||
<references/> | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
Revision as of 19:37, 3 February 2017
Background
- Predictor of intracranial injury
- Infants are at higher risk due to thinner calvarium
- Most skull fractures have overlying hematoma
Clinical Features
Differential Diagnosis
Maxillofacial Trauma
- Ears
- Nose
- Oral
- Other face
- Zygomatic arch fracture
- Zygomaticomaxillary (tripod) fracture
- Related
Evaluation
- Head CT
Management
- Antibiotics indicated for:
- Open fracture
- Depressed fracture
- Involves sinus
- Leads to pneumocephalus
- [[Ceftriaxone]] 2gm IV + metronidazole 500mg +/- vancomycin 1gm IV