TY  - CHAP
M1  - Book, Section
TI  - Head
A1  - Hankin, Mark H.
A1  - Morse, Dennis E.
A1  - Bennett-Clarke, Carol A.
PY  - 2017
T2  - Clinical Anatomy: A Case Study Approach
AB  - Patient  PresentationAn  18-year-old  male  was  brought  to  the  emergency  department  after  he  was  found  unconscious  on  the  ski  slope.  His  friends  told  the  ski  patrol  that  while  they  were  "boarding"  on  a  difficult  run  he  lost  control  and  collided  with  a  tree.Relevant  Clinical  FindingsHistoryOn  the  way  to  the  hospital,  the  patient  regained  consciousness.  When  he  arrived  in  the  emergency  department,  he  appeared  dazed  and  complained  of  headache.  He  responded  appropriately  to  questions  (e.g.,  he  knew  time,  date,  and  place)  and  confirmed  that  he  lost  control  while  skiing  and  "crashed"  into  a  tree.Physical  ExaminationNoteworthy  vital  signs  include:Blood  pressure:  120/80  mm  Hg  (normal  adult:  120/80)Pulse:  75  bpm  (adult  resting  rate:  60–100  bpm)Respiratory  rate:  17  cycles/min  (normal  adult:  14–18  cycles/min;  women  slightly  higher)Noteworthy  results  of  physical  examination:Facial  abrasionsSwelling  above  the  right  earNoteworthy  results  of  neurologic  examination:Pupils  were  equal,  round,  and  reactive  to  light  (PERRL)Normal  extraocular  movementsNumbness  on  right  side  of  faceImaging  StudiesRadiography  upon  admission  to  the  emergency  department  confirmed  a  small,  lateral  skull  fracture.Computed  tomography  (CT)  revealed  a  hyperdense,  biconvex  (lens-shaped)  mass  between  the  brain  and  the  skull.The  patient  was  kept  for  observation  in  the  emergency  department.  Several  hours  later,  the  patient  lost  consciousness  and  his  right  pupil  was  dilated.  He  became  bradycardic,  hypertensive,  with  a  decreased  respiratory  rate.Clinical  Problems  to  ConsiderEpidural  hematomaSubdural  hematoma  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessphysiotherapy.mhmedical.com/content.aspx?aid=1145872705
ER  -