Subdural hemorrhage: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
==Workup== | |||
{{Head trauma workup}} | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 19:27, 10 January 2015
Background
- Often assoc w/ underlying parenchymal damage
- More common in elderly, alcoholics, children <2yr
- May be acute (rapid LOC) or chronic (AMS w/ gradual decrease in consciousness)
Diagnosis
Workup
Workup
- Consider head CT (rule out intracranial hemorrhage)
- Use validated decision rule to determine need
- Avoid CT in patients with minor head injury who are at low risk based on validated decision rules.[1]
- Consider cervical and/or facial CT
Differential Diagnosis
Intracranial Hemorrhage Types
- Intra-axial
- Hemorrhagic stroke (Spontaneous intracerebral hemorrhage)
- Traumatic intracerebral hemorrhage
- Extra-axial
- Epidural hemorrhage
- Subdural hemorrhage
- Subarachnoid hemorrhage (aneurysmal intracranial hemorrhage)