Home / Visual Diagnosis # 13 : Answers

Visual Diagnosis # 13 : Answers

 

The patient’s GCS is 12

Eye: The patient is able to open his eyes in response to voice (3 points)

Voice: He is confused and disoriented (4 points)

Motor: He localizes painful stimuli (5 points)

 

Hemotympanum_Case_G-300x292

 

The image reveals Hemotympanum which is associated with a basilar skull fracture. A basilar skull fracture involves a fracture in the posterior skull base or the anterior skull base. A breakage in the posterior skull base may involve a fracture of the occipital bone, temporal bone, or the sphenoid bone. A break in the anterior skull base may involve breakage of the sphenoid bone or ethmoid bone. Only about 4% of severe head injuries involve a basilar skull fracture.

SkullFracture1

 

 

Other delayed physical findings associated with basilar skull fracture, include….

 Raccoon Eyes

Racoon-eyes-300x175

 

 

 

 

 

 

and mastoid bruising called Battle’s Sign.

Battle_sign2-1-300x200

 

 

 

 

 

Want to read more…?

 

Basilar Skull Fractures

 

MedscapeSkull Fractures

 

Base of Skull Fracture – LITFL

 

 

Leave a Reply

Your email address will not be published.

* Copy This Password *

* Type Or Paste Password Here *

This site uses Akismet to reduce spam. Learn how your comment data is processed.