OnlineMedEd: Surgery: Trauma - "Head"

Question 1

What are the signs of a basilar skull fracture?

Answer 1

• Racoon eyes
• Battle sign (hematoma behind the ear)
• Otorrhea or rhinorrhea of CSF

Question 2

Epidurals commonly occur after what type of injury?

Answer 2

Impact (struck head with object or impact of head into object)

Question 3

The big concerning sign of epidural to look for on CT is ______________.

Answer 3

midline shift of the brain

Question 4

How is epidural treated?

Answer 4

Craniotomy with removal of blood

Question 5

On a CT, epidural presents with ________________.

Answer 5

lens-shaped bleeding

Question 6

The lucid interval occurs in _____-dural hematoma.

Answer 6

epi

Question 7

LOC followed by death is more typical of _____-dural hematomas.

Answer 7

sub

Question 8

How do you treat acute subdural hematoma?

Answer 8

Decrease ICP: tilt bed, mannitol, and hyperventilate

Question 9

Chronic subdural hematomas are seen in ____________.

Answer 9

the elderly and those with ETOH abuse after falls or minor trauma

Question 10

___________ is one of the reasons you get a CT in the evaluation of dementia.

Answer 10

Chronic subdural hematomas

Question 11

Trephination is a treatment for _____________.

Answer 11

subdural hematomas

Question 12

___________ amnesia is typical of concussions.

Answer 12

Retrograde (not remembering after the event)

Question 13

______________ occurs after angular trauma (spinning).

Answer 13

Diffuse axonal injury

Question 14

What is the usual outcome of diffuse axonal injury?

Answer 14

Coma

Question 15

CT scan of those with DAI will show _________.

Answer 15

gray-white blurring