GoodGirl
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Posts: 1,821
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A 43-year-old mother of two watching her son play baseball has been
hit in the side of the head with a foul ball that came from another field. She
had been knocked unconscious for a few seconds and was taken to the
emergency room of a local hospital by her husband. At the emergency
room in addition to observing a growing “goose egg” over her right temporal
region, examination of her fundi with an ophthalmoscope showed subtle
papilledema. She was immediately sent for frontal and lateral skull
films, which showed a fracture in the frontal bone near the pterion. Head
CT showed an accumulation of blood near the fracture on both sides of the
frontal bone, but anterior to the coronal suture. What is the most likely
diagnosis given to the on call neurosurgeon to bring him into the hospital
on a Saturday afternoon?
a. Extracranial hematoma
b. Extracranial and epidural hematomas
c. Extracranial and subdural hematomas
d. Subarachnoid hemorrhage
e. Extracranial hematoma and subarachnoid hemorrhage
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| spinal shock
Forum Senior
Topics: 13
Posts: 186
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B goose egg swellen indicate extra dural haematoma,
pappilledema epidural haematoma which is due to middle meningial artery rupture and she is not so unlucky
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| Karime
Help me God!
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Posts: 1,318
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"B"..... also note the signs time of instauration
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| GoodGirl
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Topics: 127
Posts: 1,821
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Correct, B.
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