pt is 4 yrs child came with ho slip and fall from 9 feet height while playing at home ho 1 episode of vomiting gcs 15/15 interpret CT findings and management

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Rt frontal contusion with perilesional oedema , however the cistern are visible , gcs pulse rate pupil monitoring, adv surgery if there is any bradycardia, anisocoria, other raise ICP features, gcs fall, chances of detroiation,mainly 5,6,7,8 when oedema occur,till then given cerebral decongestant,antiepiletic,supportive treatment, if bradycardia is there then it's better to operate rather than wait for deteriotion of pt.
Contusion SDH rt frontoparietal region Decompression Inj Mannitol Syp Sodium Valproate 10mg/kg/dose twice daily Tab Ondansetron 2mg bd Refer to Neurosurgeon
Right frontal large Haemorrhagic Contusions with perilesional oedema. Prophylactic antibiotics,AEDs, n decongestive therapy.Repeat CT after 12hrs.
Thank you doctor
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Rt frontal SDH...start Mannitol and repeat CT... If doesn't improve or worsens GCS then Burrhole and evacuation
Thank you doctor
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Conservative management with antiepileptics and antiedema drugs. CT only if any deterioration in condition.
SUGGESTIVE OF RT... ..FRONTAL. ..EDH HEMORRHAGE ADVISABLE RULE. OUT. FRACTURE
Hematoma rt frontal lobe Treat as a c/o head injury/concussion Keep under observation
Thanx dr Ramesh Kumar Singh
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Subdural haematoma RT frontotemporal region refer to NEURO surgeon for BURR hole
Rt frontal contusion, aed, nsaid, PPP blockers, symptomatic care, observe
SDH rt frontal lobe. Neuro observation needed
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