Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
Pediatric Depressed Skull Fracture
Consult Page
4 y/o male with depressed skull fracture and head laceration after fall from bed this morning
Initial Imaging
Walking Thoughts
- ■
What is the patient’s GCS and neurological status?
- ■
What is the mechanism of injury?
- ■
Does the patient have any other injuries? Has the patient been evaluated by the trauma team?
- ■
What was the patient’s condition immediately after the injury?
- ■
How large is the fracture? Is it open or closed?
- ■
Are there any associated intracranial injuries?
- ■
Is there concomitant cervical spine injury that must be considered?
- ■
Is there any concern for nonaccidental trauma?
History of Present Illness
A 4 year old boy with no significant medical history presents to the emergency department after jumping on and falling off his bed. He struck his head on an unknown object, sustaining a right parietal laceration. Following the accident, he did not have loss of consciousness, altered mental status, complaints of weakness or numbness, or witnessed episodes concerning for seizure. His parents report he has been acting like himself. He was brought to a local hospital for evaluation of his laceration, where head CT showed a 1.3 cm right parietal comminuted depressed skull fracture without underlying hematoma. He received a dose of levetiracetam and ceftriaxone prior to transfer. Upon arrival to our hospital, repeat head CT was obtained, which was stable. Trauma evaluation revealed no other injuries.
You're Reading a Preview
Become a Clinical Tree membership for Full access and enjoy Unlimited articles
If you are a member. Log in here