Skull fracture (peds): Difference between revisions

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==Background==
==Background==
===Pediatric===
*fxs are predictors of intracranial inj
*fxs are predictors of intracranial inj
*infants higher risk for fx since thinner bones
*infants higher risk for fx since thinner bones
*most fxs have hematomas
*most fxs have hematomas


==Diagnosis==
*All skull fx require [[Head CT]]
==Management==
*ABX indicated for:
**Open fx
**Depressed fx
**Involves sinus
**Leads to pneumocephalus
*CTX 2gm IV + metronidazole 500mg +/- Vancomycin 1gm IV
[[Category:Trauma]]
[[Category:Peds]]
[[Category:Peds]]
[[Category:Neuro]]
[[Category:Neuro]]

Revision as of 06:45, 3 January 2014

Background

Pediatric

  • fxs are predictors of intracranial inj
  • infants higher risk for fx since thinner bones
  • most fxs have hematomas

Diagnosis

Management

  • ABX indicated for:
    • Open fx
    • Depressed fx
    • Involves sinus
    • Leads to pneumocephalus
  • CTX 2gm IV + metronidazole 500mg +/- Vancomycin 1gm IV