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Skull Fracture from Birth Trauma

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1. Skull Fracture from Birth Trauma

Skull Fracture from Birth Trauma Skull Fracture from Birth Trauma Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Skull Fracture from (...) Birth Trauma Skull Fracture from Birth Trauma Aka: Skull Fracture from Birth Trauma From Related Chapters II. Signs Linear with soft tissue swelling May be asymptomatic Depressed Visible, palpable indentation may be hidden beneath III. Associated Conditions IV. Complications V. Radiology Diagnose Rule-out Intracranial edema VI. Management Depressed : Neurosurgery Non-displaced : Re-XRay in 4-6 weeks Ensure line closure Rule-out formation Images: Related links to external sites (from Bing

2018 FP Notebook

2. Skull Fracture from Birth Trauma

Skull Fracture from Birth Trauma Skull Fracture from Birth Trauma Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Skull Fracture from (...) Birth Trauma Skull Fracture from Birth Trauma Aka: Skull Fracture from Birth Trauma From Related Chapters II. Signs Linear with soft tissue swelling May be asymptomatic Depressed Visible, palpable indentation may be hidden beneath III. Associated Conditions IV. Complications V. Radiology Diagnose Rule-out Intracranial edema VI. Management Depressed : Neurosurgery Non-displaced : Re-XRay in 4-6 weeks Ensure line closure Rule-out formation Images: Related links to external sites (from Bing

2015 FP Notebook

3. Fractures (non-complex): assessment and management

for people who have had surgery for distal femoral fractures. 1.5 Documentation The NICE guideline on major trauma: service delivery contains recommendations for ambulance and hospital trust boards, senior managers and commissioners on documentation within a trauma network. 1.5.1 Consider developing and using standard documentation to prompt the assessment of the following from first presentation in people with fractures: safeguarding comorbidities falls risk nature of fracture, including classification (...) to repeated outpatient reviews with casting and imaging. These fractures result from trauma to growing bones and account for an estimated 500,000 emergency department attendances a year in the UK. Current treatment often involves application of a bandage, or a removable cast or a soft cast, with review in outpatient clinics and repeated X-ray imaging. This is despite anecdotal evidence that treatment with simple analgesia and immediate discharge from the emergency department is safe and effective

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

4. Skull Fracture (Overview)

Sabuncuoğlu (1385-1468) in his textbook "Cerrahiyyetu'l Haniyye" (Imperial Surgery). [ ] Charles Bell first described occipital condylar fracture in 1817 based on an autopsy finding. [ ] The same fracture was described for the first time as a radiograph finding in 1962 and by computed tomography (CT) in 1983. [ , ] Previous Next: Problem Skull fractures are classified in the image below. Classification of skull fractures Linear skull fracture Linear fracture results from low-energy blunt trauma over (...) bone fractures: traditional classification and clinical relevance. Laryngoscope . 2004 Oct. 114(10):1734-41. . Arrey EN, Kerr ML, Fletcher S, Cox CS Jr, Sandberg DI. Linear nondisplaced skull fractures in children: who should be observed or admitted?. J Neurosurg Pediatr . 2015 Sep 4. 1-6. . Idriz S, Patel JH, Ameli Renani S, Allan R, Vlahos I. CT of Normal Developmental and Variant Anatomy of the Pediatric Skull: Distinguishing Trauma from Normality. Radiographics . 2015 Jul 31. 140177. . Orman G

2014 eMedicine Surgery

5. Skull Fracture (Diagnosis)

Sabuncuoğlu (1385-1468) in his textbook "Cerrahiyyetu'l Haniyye" (Imperial Surgery). [ ] Charles Bell first described occipital condylar fracture in 1817 based on an autopsy finding. [ ] The same fracture was described for the first time as a radiograph finding in 1962 and by computed tomography (CT) in 1983. [ , ] Previous Next: Problem Skull fractures are classified in the image below. Classification of skull fractures Linear skull fracture Linear fracture results from low-energy blunt trauma over (...) bone fractures: traditional classification and clinical relevance. Laryngoscope . 2004 Oct. 114(10):1734-41. . Arrey EN, Kerr ML, Fletcher S, Cox CS Jr, Sandberg DI. Linear nondisplaced skull fractures in children: who should be observed or admitted?. J Neurosurg Pediatr . 2015 Sep 4. 1-6. . Idriz S, Patel JH, Ameli Renani S, Allan R, Vlahos I. CT of Normal Developmental and Variant Anatomy of the Pediatric Skull: Distinguishing Trauma from Normality. Radiographics . 2015 Jul 31. 140177. . Orman G

2014 eMedicine Surgery

6. Skull, Fractures

are usually the result of low-energy transfer due to blunt trauma over a wide surface area of the skull. The fracture involves the entire thickness of the skull. Generally, these fractures are of little clinical significance unless they involve a vascular channel, a venous sinus groove, or a suture. Thus, complications include , venous sinus thrombosis, and suture diastasis. (See the following images.) Lateral skull radiograph in a child shows a long, linear fracture extending from the midline (...) . Axial computed tomography scan shows a growing skull fracture nicely, depicting the widened fracture on the left and the fluid collection extending from the intracranial cavity into and through the fracture site. The diagnosis is based on clinical and imaging findings; early recognition of growing skull fractures is crucial to prevent long-term neurologic sequelae. Hence, radiologic and clinical follow-up is essential in cases of head trauma. Serial conventional radiographs of the skull show

2014 eMedicine Radiology

7. Paediatric trauma protocols

help in providing data on paediatric trauma. Dr Pete Cavanagh Vice-President Faculty of Clinical Radiology This document has been endorsed by 4 www.rcr.ac.uk Executive summary Children are different – they are not just small adults. What defines a child? What is severe trauma in relation to a child? How should a child with severe trauma be imaged? These are simple questions but the answers are complex. Childhood covers the period from birth through adolescence to adulthood and thus there can (...) of paediatric data from the Trauma Audit & Research Network for the year beginning 1 April 2012, corresponding to the introduction of the National Trauma Networks in England, clearly illustrates this point. 2 The total number of individuals aged 16 years and above admitted to hospitals in the UK and submitted to TARN was 36,369 and there were 2,409 children under 16 years (Table 1). 2 While the national paediatric trauma workload is relatively low, the majority of children in this 12- month period were

2014 Royal College of Radiologists

8. Birth Trauma (Overview)

performed if a concomitant depressed skull fracture is a possibility. Subgaleal hematoma Subgaleal hematoma is bleeding in the potential space between the skull periosteum and the scalp galea aponeurosis. Ninety percent of cases result from a vacuum applied to the head at delivery. Subgaleal hematoma has a high frequency of occurrence of associated head trauma (40%), such as intracranial hemorrhage or skull fracture. [ ] The occurrence of these features does not significantly correlate with the severity (...) , MD; Chief Editor: Ted Rosenkrantz, MD Share Email Print Feedback Close Sections Sections Birth Trauma Overview Overview Injuries to the infant that result from mechanical forces (ie, compression, traction) during the birth process are categorized as birth trauma. Factors responsible for mechanical injury may coexist with hypoxic-ischemic insult; one may predispose the infant to the other. Lesions that are predominantly hypoxic in origin are not discussed in this article. Significant birth injury

2014 eMedicine Pediatrics

9. Birth Trauma (Diagnosis)

performed if a concomitant depressed skull fracture is a possibility. Subgaleal hematoma Subgaleal hematoma is bleeding in the potential space between the skull periosteum and the scalp galea aponeurosis. Ninety percent of cases result from a vacuum applied to the head at delivery. Subgaleal hematoma has a high frequency of occurrence of associated head trauma (40%), such as intracranial hemorrhage or skull fracture. [ ] The occurrence of these features does not significantly correlate with the severity (...) , MBBS, MD; Chief Editor: Ted Rosenkrantz, MD Share Email Print Feedback Close Sections Sections Birth Trauma Overview Overview Injuries to the infant that result from mechanical forces (ie, compression, traction) during the birth process are categorized as birth trauma. Factors responsible for mechanical injury may coexist with hypoxic-ischemic insult; one may predispose the infant to the other. Lesions that are predominantly hypoxic in origin are not discussed in this article. Significant birth

2014 eMedicine Pediatrics

10. Birth Trauma (Follow-up)

performed if a concomitant depressed skull fracture is a possibility. Subgaleal hematoma Subgaleal hematoma is bleeding in the potential space between the skull periosteum and the scalp galea aponeurosis. Ninety percent of cases result from a vacuum applied to the head at delivery. Subgaleal hematoma has a high frequency of occurrence of associated head trauma (40%), such as intracranial hemorrhage or skull fracture. [ ] The occurrence of these features does not significantly correlate with the severity (...) , MBBS, MD; Chief Editor: Ted Rosenkrantz, MD Share Email Print Feedback Close Sections Sections Birth Trauma Overview Overview Injuries to the infant that result from mechanical forces (ie, compression, traction) during the birth process are categorized as birth trauma. Factors responsible for mechanical injury may coexist with hypoxic-ischemic insult; one may predispose the infant to the other. Lesions that are predominantly hypoxic in origin are not discussed in this article. Significant birth

2014 eMedicine Pediatrics

11. Birth Trauma (Treatment)

performed if a concomitant depressed skull fracture is a possibility. Subgaleal hematoma Subgaleal hematoma is bleeding in the potential space between the skull periosteum and the scalp galea aponeurosis. Ninety percent of cases result from a vacuum applied to the head at delivery. Subgaleal hematoma has a high frequency of occurrence of associated head trauma (40%), such as intracranial hemorrhage or skull fracture. [ ] The occurrence of these features does not significantly correlate with the severity (...) , MBBS, MD; Chief Editor: Ted Rosenkrantz, MD Share Email Print Feedback Close Sections Sections Birth Trauma Overview Overview Injuries to the infant that result from mechanical forces (ie, compression, traction) during the birth process are categorized as birth trauma. Factors responsible for mechanical injury may coexist with hypoxic-ischemic insult; one may predispose the infant to the other. Lesions that are predominantly hypoxic in origin are not discussed in this article. Significant birth

2014 eMedicine Pediatrics

12. Trauma in pregnancy

expectations, aspirations and needs, rather than the institutional or professional needs • Recognising the woman’s right to self determination through choice, control and continuity of care from a known or known caregivers • Recognising the needs of the baby, the woman’s family and significant others Queensland Clinical Guideline: Trauma in pregnancy Refer to online version, destroy printed copies after use Page 6 of 31 Table of Contents 1 Introduction 7 1.1 Principles of care 7 1.2 Patient stratification (...) 18 5.6 Disseminated intravascular coagulopathy 19 5.7 Musculoskeletal injury 19 5.8 Minor trauma 20 References 21 Appendix A: Classification of major trauma in pregnancy 24 Appendix B: Perimortem caesarean section procedure 25 Appendix C: Haemodynamic and laboratory values in pregnancy 26 Appendix D: Seat belt positioning in pregnancy 27 Appendix E: Estimation of gestation 28 Appendix F: Left lateral tilt positioning 29 Appendix G: Approximate fetal effective doses (mSv) from common radiological

2014 Queensland Health

13. Abusive Head Trauma and the Eye in Infancy

link a less than violent event with fatal head injury. Nonetheless, in eight infants there was no bruising, skull fracture, or extra cranial injury to specifically indicate a violent event. It is now appreciated that evidence from mechanical models (15) may reveal an imperfect picture of the events occurring during injury (36). It has been conceded that, ‘whilst controversy still exists as to the exact mechanism, most authors now agree that the forces necessary to cause this type of injury are far (...) Aims of the guidance 1. To review the literature from the time of the last publications on AHT and the eye. 2. To update the previously published articles 10 3. To identify good practice in the management of cases referred with suspected abusive head trauma and encourage evidence based standardized assessment of such children. 4. To identify new information concerning conditions which may simulate the ocular findings in abusive head trauma in children. 1.4 Scope of guidance This guidance deals

2013 Royal College of Ophthalmologists

14. Trauma in pregnancy

expectations, aspirations and needs, rather than the institutional or professional needs • Recognising the woman’s right to self determination through choice, control and continuity of care from a known or known caregivers • Recognising the needs of the baby, the woman’s family and significant others Queensland Clinical Guideline: Trauma in pregnancy Refer to online version, destroy printed copies after use Page 6 of 31 Table of Contents 1 Introduction 7 1.1 Principles of care 7 1.2 Patient stratification (...) 18 5.6 Disseminated intravascular coagulopathy 19 5.7 Musculoskeletal injury 19 5.8 Minor trauma 20 References 21 Appendix A: Classification of major trauma in pregnancy 24 Appendix B: Perimortem caesarean section procedure 25 Appendix C: Haemodynamic and laboratory values in pregnancy 26 Appendix D: Seat belt positioning in pregnancy 27 Appendix E: Estimation of gestation 28 Appendix F: Left lateral tilt positioning 29 Appendix G: Approximate fetal effective doses (mSv) from common radiological

2014 Clinical Practice Guidelines Portal

15. Facial Trauma, Frontal Sinus Fractures

nonvertical frontal sinus fractures and 98 vertical fractures with or without frontal sinus involvement. [ ] Previous Next: Epidemiology Frequency Frontal sinus fractures comprise 5-12% of maxillofacial traumas. [ , ] The incidence appears to be approximately 9 cases per 100,000 adults. [ ] Previous Next: Etiology Fractures of the frontal sinus occur most commonly as a result of blunt trauma from a motor vehicle accident; the next most common cause is high-impact sports-related injury. [ , , , ] Frontal (...) sinus fractures may result from low-velocity, high-velocity, blunt, or penetrating trauma. With low-velocity impact, the anterior table may confer some protection to the posterior table and may be the only table to fracture. Conversely, high-velocity or penetrating trauma may cause severe damage to both the anterior and posterior tables, with comminution and significant displacement. [ ] Previous Next: Pathophysiology The force required to fracture the frontal sinus has been reported to be 800-2200

2014 eMedicine Surgery

16. Osteoporosis: Diagnosis, Treatment and Fracture Prevention

at increased risk of fracture, including: Previous fragility fracture: Fractures sustained in falls from standing height or less, in which bone damage is disproportional to the degree of trauma. Includes vertebral compression fractures not attributable to previous major trauma, which may be suggested by height loss. Where other disease has been ruled out, patients with low trauma fragility fractures may have OP and are at high risk of other fragility fractures within 10 years. Fractures of the hip (...) Osteoporosis: Diagnosis, Treatment and Fracture Prevention Osteoporosis: Diagnosis, Treatment and Fracture Prevention - Province of British Columbia theme_3_collection theme_3_frontend theme_3_collection theme_3_frontend Birth, Adoption, Death, Marriage & Divorce theme_1_collection theme_1_frontend theme_1_collection theme_1_frontend British Columbians & Our Governments theme_data_collection data_frontend theme_data_collection data_frontend Data theme_5_collection theme_5_frontend

2013 Clinical Practice Guidelines and Protocols in British Columbia

17. Guidelines for the Prevention of Stroke in Women: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

Guidelines for the Prevention of Stroke in Women: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Guidelines for the Prevention of Stroke in Women | Stroke Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 February 2019 February 2019 January 2019 Free Access article Share on Jump to Free Access article Guidelines for the Prevention of Stroke in Women A Statement for Healthcare (...) Professionals From the American Heart Association/American Stroke Association , MD, MHS, FAHA , MD, PhD, FAHA , MD, MSc , MD, MPH, FAHA , DNP, RN, FAHA , MD, MPH, FAHA , PhD, MSPH, FAHA , PhD, MPH , PhD, MPH, FAHA , MD, MPH, FAHA , PhD, DVM, FAHA , MD, MPH , MD, MSc, FAHA , MD, FAHA , MD , and MD, PhD MD, MBChB, MScon behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, Council on Epidemiology and Prevention, and Council

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2014 American Heart Association

18. Head Trauma (Diagnosis)

deterioration. See (TBI), a Critical Images slideshow, to help identify the signs and symptoms of TBI, determine the type and severity of injury, and initiate appropriate treatment. Signs and symptoms Patients with head trauma may experience one or a combination of primary injuries, including the following: Scalp injury Skull fracture (eg, basilar skull fracture) Concussion Contusion Intracranial and/or subarachnoid hemorrhage Epidural and/or subdural hematoma Intraventricular hemorrhage (see the image (...) , and sex. Patients with head trauma may experience one or a combination of primary injuries, including scalp injury, skull fracture, basilar skull fracture, concussion, contusion, intracranial hemorrhage, subarachnoid hemorrhage, epidural hematoma, subdural hematoma, intraventricular hemorrhage, penetrating injuries, and diffuse axonal injury. The goal of medical care of patients with head trauma is to recognize and treat life-threatening conditions and to eliminate or minimize the role of secondary

2014 eMedicine Pediatrics

19. Head Trauma (Overview)

deterioration. See (TBI), a Critical Images slideshow, to help identify the signs and symptoms of TBI, determine the type and severity of injury, and initiate appropriate treatment. Signs and symptoms Patients with head trauma may experience one or a combination of primary injuries, including the following: Scalp injury Skull fracture (eg, basilar skull fracture) Concussion Contusion Intracranial and/or subarachnoid hemorrhage Epidural and/or subdural hematoma Intraventricular hemorrhage (see the image (...) , and sex. Patients with head trauma may experience one or a combination of primary injuries, including scalp injury, skull fracture, basilar skull fracture, concussion, contusion, intracranial hemorrhage, subarachnoid hemorrhage, epidural hematoma, subdural hematoma, intraventricular hemorrhage, penetrating injuries, and diffuse axonal injury. The goal of medical care of patients with head trauma is to recognize and treat life-threatening conditions and to eliminate or minimize the role of secondary

2014 eMedicine Pediatrics

20. Facial Nerve, Intratemporal Bone Trauma

caused by birth trauma represent rare but important causes of traumatic facial paralysis. Previous Next: Pathophysiology In a comprehensive review of the literature, Chang and Cass (1999) reported surgical findings of 4 types of facial nerve pathology after temporal bone trauma. [ ] The authors' review of 67 longitudinal fractures from 3 studies revealed that 76% of fractures had bony impingement or intraneural hematoma, and 15% had transection. The remainder had no visible pathology except neural (...) paralysis, May (1983) reported that 16% were caused by trauma. [ ] Although the facial nerve is susceptible to trauma along its entire length, the temporal bone is the most common site of trauma resulting in facial paralysis. The objective of this article is to review facial paralysis resulting from trauma to the intratemporal bone. Next: Epidemiology Frequency Approximately 5% of people who have trauma have temporal bone fractures. These fractures are traditionally classified with respect to the axis

2014 eMedicine Surgery

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