Skull fracture (peds): Difference between revisions
| Line 8: | Line 8: | ||
==Diagnosis== | ==Diagnosis== | ||
*All skull fx require [[Head CT]] | *All skull fx require [[Head CT]] | ||
==Differential Diagnosis== | |||
{{Maxillofacial trauma DDX}} | |||
==Management== | ==Management== | ||
Revision as of 08:36, 10 January 2015
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
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