Maxillary Sinus Case Study

cracked skulls. The men that had these injuries became weaker and weaker until they died. After

Pediatricians must recognize and respond to pediatric abusive head trauma, no matter how subtle the signs may be, in order to prevent further neurological injury. The appropriate reports must be made to child welfare services and law enforcement in order to make arrangements for the future safety of the child and deal with the legal ramifications of the abuser.

Trauma one Pediatric Emergency Department! Trauma one Pediatric Emergency Department responding over! Rescue Unit 29 transporting a 12 year-old boy, named Mike, hit by a car while riding his bicycle. This is a hit and run accident, but other motorists called a rescue unit. The child was not wearing a helmet. Facial bleeding is under control, but he suffered facial and head trauma. There appeared to be no facture of the extremities. Presently he is awake and semi-alert. Vitals signs: BP 120/56, Pulse 120, Oxygen

Patient is a 23-year-old right-hand white female who presents with her mother for evaluation of post concussive syndrome. She had two significant closed head injuries this winter in February. They both occurred while snowboarding. On the first one, she slipped on some ice fell back and hit her occiput. She was wearing a helmet. When she got down to the bottom of the hill, she noted she had some mild confusion. Her friend asked her where she fell and she was unable to recall exactly where in the course she fell. She had a mild headache and was sleepy the rest of that day. One week later, she had another strike to the occiput. Again, she was wearing a helmet. She did have a headache

Child abuse is also characterized by broken bones. Child abuse is sometimes difficult to differentiate from osteogenesis imperfecta if assessment and examination are not done properly. For many years, many appropriate efforts have been undertaken to help differentiate those two diagnoses and protect children. Child abuse is a pattern of behavior that can often pass down from one Generation to the next. Often when false accusations of child abuse may occur in families with children who have milder forms of OI. Also, there are some types of fractures that can typically observed in both child abuse and OI such as fractures in multiple stages of healing ,rib fractures, spiral fractures ,fractures with no adequate explanation of trauma. Usually, when fractures in a child seem incompatible, child abuse is often suspected (McCance & Huether,

side. The dentist thought he might have tmj (temporal mandibular joint dysfunction), and referred him to

A 32 Y/O female present to the clinic with 2 week H/O stabbing jaw pain 8/10 with lightening-like sensation along the eye and over the forehead. No meds taken for relief, afebrile at home, no facial trauma or head injuries in past. Upon examination, you palpate crepitus in the TMJ area with opening and closing of mouth. The most

He was subjected to several CT scans, and ultimately diagnosed with a fracture of the spinous process of the thoracic vertebra. The radiologist notes indicate the fracture was non displaced and could even possibly be congenital.

There is a small vertical irregularity on the mandible, likely the result of a fracture scar. This irregularity measures approximately 3 millimeters in length. There is also evidence of forced trauma to the cranium, with the vertical irregularity measuring approximately 8 millimeters in length.

Having knowledge of the anatomy of the head can help find the source of a problem when on scene of a traumatic injury. The main

HISTORY OF PRESENT ILLNESS: This patient is a 10-year-old male. He was in a Motocross accident this past Saturday, sustaining tibial eminence fracture, displaced. He presents today for evaluation.

Another 14 bones make up the skeleton of the face. In adults, all of the lower jaw, (mandible) are locked together by joints known as sutures. Theses seams are visible on the surface of the skull as lines between the bones. Viewed from the front, the most prominent skull bones are the

HISTORY OF PRESENT ILLNESS: This patient is a 40-year-old male. Industrial injury, he got his finger caught in something at work. He sustained an open fracture, distal phalanx of the left small finger. He was seen in the ER. The finger was sutured in the ER. He presents for followup here.

2016). The diagnostic testing to be done would depend on the site of injury. A head CT scan, ophthalmologist consult should be considered for a child less than 2 years of age diagnose with occult skeletal, retinal, or intracranial trauma. Abdominal CT scan may be ordered if abdominal trauma is suspected. Laboratory testing to include: CBC with platelets, PT/PTT, LFT’s, lipase, amylase, and if any concerns with of bone, calcium, magnesium, phosphate, alkaline phosphate, and vitamin D levels should be considered (Hornor, G. (2012). A comprehensive physical and psychosocial examination to identify abnormal bruising, tear, and any traumatic injuries that focuses on the reported explanation. Essential elements includes: what occurred, when, where, and who was present. It’s important to pay close attention to historical details helps establish a timeline of events, identify any inconsistencies in the care history. Inquire if the child has certain medications or medications that could have aided in bruising. Frenula injuries in non-ambulatory children are alarming for abusive injury and should prompt for another diagnostic evaluation (Hornor, G.

PHYSICAL EXAM: Examination shows comparing the right hand to the left, including the hand and wrist region, that there are skin scratches, very superficial, from activity. There is no tenderness. There is no soft tissue swelling. There is normal alignment. No deep tenderness to palpation over the fractures. No crepitus. No instability. Active range of motion is about 85% of the contralateral left side.