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)
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.
Other delayed physical findings associated with basilar skull fracture, include….
and mastoid bruising called Battle’s Sign.
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