Skull fracture (peds): Difference between revisions
m (Rossdonaldson1 moved page Skull Fracture (Peds) to Skull fracture (peds)) |
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==Diagnosis== | ==Diagnosis== | ||
*All skull fx require [[Head CT]] | *All skull fx require [[Head CT]] | ||
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<gallery> | |||
File:Skull_fx.JPG| Depressed open skull fx in a 5 yo M. | |||
</gallery> | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 02:39, 21 January 2016
Background
Pediatric
- fxs are predictors of intracranial inj
- infants higher risk for fx since thinner bones
- most fxs have hematomas
Diagnosis
- All skull fx require Head CT
Depressed open skull fx 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