Head Trauma

Question 1

What is the first test for any head trauma that leads to LOC or AMS?

Answer 1

head CT

Question 2

What is the best initial test to detect blood?

Answer 2

Head CT without contrast

Question 3

What does a CT show for Concussion?

Answer 3

Normal

Question 4

What does a CT show for Contusion?

Answer 4

ecchymosis: blood mixed in with brain parenchyma

Question 5

What is a common cause of subdural hematoma in older adults?

Answer 5

Rupture of bridging veins

Question 6

How do you manage a concussion?

Answer 6

Observe at home for AMS
wait 24 hours before returning to sports

Question 7

How do you manage a contusion?

Answer 7

Rarely any intervention

Question 8

What can be used to help manage Subdural and Epidural Hematoma?

Answer 8

Hyperventilation: decreases pCO2

Mannitol: osmotic diuretic: decreases intravascular volume and ICP

Question 9

What can occur with a large intracranial hemorrhage?

Answer 9

Compression of ventricles or sulci
Herniation with abnormal bleeding and unilateral dilation of the pupil
Worsening mental status or focal findings

Question 10

How does a subdural hemorrhage appear on head CT?

Answer 10

Crescent shape from venous bleed

Question 11

How does an epidural hematoma appear on head CT?

Answer 11

Lens-shaped from arterial bleedd

Question 12

What is given to prevent stress ulcers in patients with head trauma?

Answer 12

PPI