Template:Denver Screening Criteria: Difference between revisions

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''The [[Denver Screening Criteria]] are divided into risk factors and signs and symptoms''
''The [[Denver Screening Criteria]] are divided into risk factors and signs and symptoms''
===Signs and Symptoms===
===Signs and Symptoms===
*[[CVA_(Workup_and_General_Rx)|Focal neurologic deficit]]
*Arterial hemorrhage
*Arterial Hemorrhage
*Cervical bruit
*Cervical Bruit or Thrill (<50yo)
*Expanding neck hematoma
*Infarct on Head CT
*Focal neurologic deficit
*Expanding Neck Hematoma
*Neuro exam inconsistent with head CT
*Neuro exam inconsistent with Head CT
*Stroke on head CT


===Risk Factors===
===Risk Factors===

Revision as of 13:51, 4 December 2019

The Denver Screening Criteria are divided into risk factors and signs and symptoms

Signs and Symptoms

  • Arterial hemorrhage
  • Cervical bruit
  • Expanding neck hematoma
  • Focal neurologic deficit
  • Neuro exam inconsistent with head CT
  • Stroke on head CT

Risk Factors

  • Midface Fractures (Le Fort II or III)
  • Basilar Skull Fracture with carotid canal involvement
  • Diffuse axonal injury with GCS<6
  • Cervical spine fracture
  • Hanging with anoxic brain injury
  • Seat belt abrasion or other soft tissue injury of the anterior neck resulting in significant swelling or altered mental status
    • Isolated seatbelt sign without other neurologic symptoms has not been identified as a risk factor[1][2]
  1. DiPerna CA, Rowe VL, Terramani TT, et al. Clinical importance of the “seat belt sign” in blunt trauma to the neck. Am Surg. 2002;68:441–445
  2. Rozycki GS, Tremblay L, Feliciano DV, et al. A prospective study for the detection of vascular injury in adult and pediatric patients with cervicothoracic seat belt signs. J Trauma. 2002;52:618–623; discussion 623–624