Skull fracture (peds): Difference between revisions
ClaireLewis (talk | contribs) |
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
||
| Line 6: | Line 6: | ||
*most fractures have hematomas | *most fractures have hematomas | ||
== | ==Evaluation== | ||
*All skull fracture require [[Head CT]] | *All skull fracture require [[Head CT]] | ||
** | ** | ||
Revision as of 23:17, 25 July 2016
Background
Pediatric
- fractures are predictors of intracranial injury
- infants higher risk for fracture since thinner bones
- most fractures have hematomas
Evaluation
- 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
- Antibiotics indicated for:
- Open fracture
- Depressed fracture
- Involves sinus
- Leads to pneumocephalus
- Ceftriaxone 2gm IV + metronidazole 500mg +/- vancomycin 1gm IV