Scribd Logo
Upload

Welcome to Scribd!

  • HEAD INJURY D

    Uploaded by

    Prep Eve IELTS
    13 views20 pages
    This document provides information on performing a quick neurological examination for head injuries. It includes assessing the Glasgow Coma Score by evaluating eye opening, motor response, and verbal response. Other assessments include checking for pupillary response, limb weakness, scalp lacerations, evidence of skull fractures, and signs of a skull base fracture. Imaging options like plain X-rays, CT scans, MRI, and angiography are discussed for further evaluating head injuries. CT scans are highlighted as the most important investigation to clearly depict the extent of injuries.

    Original Description:

    Original Title

    HEAD_INJURY_d (1)

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document provides information on performing a quick neurological examination for head injuries. It includes assessing the Glasgow Coma Score by evaluating eye opening, motor response, and verbal response. Other assessments include checking for pupillary response, limb weakness, scalp lacerations, evidence of skull fractures, and signs of a skull base fracture. Imaging options like plain X-rays, CT scans, MRI, and angiography are discussed for further evaluating head injuries. CT scans are highlighted as the most important investigation to clearly depict the extent of injuries.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views20 pages

    HEAD INJURY D

    Uploaded by

    Prep Eve IELTS
    This document provides information on performing a quick neurological examination for head injuries. It includes assessing the Glasgow Coma Score by evaluating eye opening, motor response, and verbal response. Other assessments include checking for pupillary response, limb weakness, scalp lacerations, evidence of skull fractures, and signs of a skull base fracture. Imaging options like plain X-rays, CT scans, MRI, and angiography are discussed for further evaluating head injuries. CT scans are highlighted as the most important investigation to clearly depict the extent of injuries.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 20

    Quick Neurological Examination

     Conscious level (Glasgow Coma Score )


     Pupillary Response/Limb weakness
     Scalp lacerations / bruising-CSF leak,herniation of
    brain matter
     Evidence of Skull fracture:Vault/Base
    1. Subconjunctival haemorrhage
    2. Bleeding from external auditory meatus
    3. CSF rhinorrhoea/otorrhoea
    4. Battle’s sign/Bilateral periorbital haematomas (Racoon eyes)
    5. Facial nerve palsy
    Signs of Skull Base Fracture

    Black Eye : Battles Sign : Middle


    Ant.Cranial fossa fracture Cranial fossa fracture
    Head Injury Assessment
    Glasgow Coma Score (GCS=3to15)

    Eye Opening (E)

    Spontaneous 4
    To speech 3
    To pain 2
    None 1
    Head Injury Assessment
    Glasgow Coma Score (GCS=3to15)
    Motor Response (M)

    Obeys commands 6
    Localises pain 5
    Flexion 4
    Abnormal flexion (decorticate) 3
    Extension (decerebrate) 2
    None 1
    Head Injury Assessment
    Glasgow Coma Score (GCS=3to15)
    Verbal Response (V)

    Oriented 5
    Confused 4
    Inappropriate words 3
    Incomprehensible sounds 2
    None 1
    Imaging in head injury

     Plain X Ray

    CT scan
     MRI
     Angiography
    X Ray Skull

     Lateral view
    • Sphenoid Sinus – look for Fluid /air Level
    • Pneumocele
    • Double Densities
    • Linear Fracture

     PA View
    • Frontal Sinus - look for Fluid /air Level
    • Pineal Shift
    CT Scan

    It is the most important investigation as it clearly


    depicts the extent of injury.

    Usually a Plain CT head with bone window is


    required

    Many times the first CT scan is done quite early a


    repeat CT scan should be done, preferably within
    12-24 hours after injury.
    TOPOGRAM
    EDH
    EDH
    EDH
    EDH
    SDH
    SDH
    SDH
    EDH vs. SDH
    Contusion
    Contusion
    Contusion

    You might also like