Case Study Gr.3 Epidural Hematoma

PowerPoint PresentationPathumtani occupation : employee
History:
6 hrs PTA he was assaulted by punching
at both eyes, hitting and slashing
2 times at head then passed out for a
while
with agitation
suture at head
extremities
Differential diagnosis
Lab Investigation
Neutrophil 89.7% (40.0-72.0)
Lymphocyte 5.7 % (18.0-49)
Hct 40.7% M(39.0-52.0)
of trauma above clavicle
at Left Fronto-Parietal lobe
2. Not cross suture
3. Not cross midline
-Laceration wound at scalp with suture at head.
-CT brain, non contrast, lens shaped hyperdensity
fluid collection at Left Fronto-Parietal lobe, not cross suture,
not cross midline and mass effect
Dx : epidural hematoma.
Finding -Lens(biconvex) shape hyperdensity
Take home message
Slip into coma
hematoma, and intracerebral hematoma
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