Skull fracture (peds): Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Neuro" to "Category:Neurology") |
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Revision as of 15:59, 22 March 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