Concluded Case

BRAIN CONTUSION

pt is a young man with ho RTA loss of consciousness since then gcs 5/15 pt was intubated interpret CT findings and management

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Concluded answer
Depressed # rt frontalRt frontal hemorrhagic contusion thin interhemispheric bleed rt tentorial small bleeder parietal sulcal blood. Ref to Neurosurgeon and follow his opinion
All Answers
Depressed # rt frontalRt frontal hemorrhagic contusion thin interhemispheric bleed rt tentorial small bleeder parietal sulcal blood. Ref to Neurosurgeon and follow his opinion
Cerebral oedema
Intracerebral hematoma (contusion)+ TSAH+ small parafalcine subdural hematoma+ beginning of the brain edema with slight midline shift and subcutaneous hematoma. Probably need ICP measuring and in case of the increased ICP, which is unresponsive medical treatment an EVD insertion and/or removal of the contusions +/- decompression craniectomy is an option.
Contusion with rt frontal & paritotemporal SDH with diffuse cerebral oedema with median shift to right Rt temporal scalp haematoma Decompression with Inj Mannitol 100ml , keep BP 140/80 Inj Levetiracetum 500mg iv bd Inj Furesemide iv sos Inj Citicholin 1gm iv tds in drip Patient to be kept intubitted Refer to Neurosurgeon
Rt frontal depressed fracture with underlying contusion. With mass effect, with pneumocephalus. Dural tear must be there which needs repair with repair of floor of frontal region might be needed to prevent CSF leak in future
Rt. Frontal fracture and hemorrhagic contusions needs to be referred to NSX for further treatment until then treat patient symptomatically
Rt frontal hemorrhagic contusions with right fronto parietal subarachnoid hemorrhage with diffuse cerebral oedema
Rt frontal bone # with intra cranial bleeding and hematoma Bleeding in fronto temporal region
Compound depressed # with hemorrhagic contusion.. Operate and then ICU care
Frontoparietal bleed with subdural faematoma
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