Skull fracture (peds): Difference between revisions
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(Text replacement - "[[Ceftriaxone]]" to "Ceftriaxone") |
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**Involves sinus | **Involves sinus | ||
**Leads to pneumocephalus | **Leads to pneumocephalus | ||
* | *[[Ceftriaxone]] 2gm IV + [[metronidazole]] 500mg +/- [[vancomycin]] 1gm IV | ||
==Disposition== | ==Disposition== | ||
Revision as of 05:04, 12 March 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