Presentation
A comprehensive textbook of adult emergency medicine for trainee doctors - covers all the problems likely to present to a trainee in the emergency department. [books.google.com]
Clinically, patients present with nonspecific symptoms like headache, nausea and vomiting [1], [10]. A "succession splash" is considered diagnostic of pneumocephalus [1]. Rarely patient can present with frontal syndrome [11]. [ijri.org]
Eighty percent of cases will present in the first 48 hours after injury, and most (up to 95%) will present with CSF rhinorrhea in the first 3 months after trauma. [radiologykey.com]
Natal Teeth Predeciduous teeth present at birth. They may be well formed and normal or may represent hornified epithelial structures without roots. [bioportfolio.com]
The posterior surface presents large irregular cellular cavities, which are closed in by articulation with the sphenoidal concha and orbital process of the palatine. [theodora.com]
Entire Body System
- Swelling
Fractures to the nasal bones cause a lot of swelling and it may take about five days for the swelling to settle down enough for the bones to be checked. [entuk.org]
In the rare circumstance that a deformity persists after swelling subsides, a reduction and splinting after a local anesthetic is given are usually sufficient. [merckmanuals.com]
Symptoms of a Le Fort III Fracture Common symptoms are obvious visible trauma, bleeding, pain, swelling and tenderness. [ebtrialattorneys.com]
If the patient is examined soon after the injury, gross swelling may mask canthal detachment ( Fig. 12-1 ). [pocketdentistry.com]
On examination she has pain and swelling in the nasoethmoidal region but no signs of trauma anywhere in the body. Which of the following statement is true about this patient? A. She may be having a fracture of cribriform plate. B. [usmleforum.com]
- Pain
The nonhighly myopic group included 28 globes that had been enucleated because of painful absolute secondary angle-closure glaucoma and 17 eyes that had been enucleated because of a malignant choroidal melanoma. [aao.org]
The extraction was painful, for more than 20 min. The dentist pushed my head, pulled and twisted the molar. I had a sinus perforation which later was confirmed through a dental x-ray (not panoramic or whole head). [nysinuscenter.com]
The burn site is painful. A sunburn is a good example of a superficial burn. • Partial-thickness (second-degree) burns involve the epidermis and some portion of the dermis. [books.google.com]
Various neoplasms of a malignant or benign type can manifest as pains in the backof the head, because they press on the sheath of the brain, the bones of the skull, or blood vessels. Luodit menivät leuasta sisään ja tulivat ulos kallontakaosasta. [tr-ex.me]
Symptoms of a Le Fort III Fracture Common symptoms are obvious visible trauma, bleeding, pain, swelling and tenderness. [ebtrialattorneys.com]
- Unconsciousness
In the unconscious patient, the swinging flashlight test is particularly important, and the fundus should be examined thoroughly for signs of optic nerve compression. [pocketdentistry.com]
Neurol India 2010;58:802-4 Sir Insertion of a nasogastric (NG) tube is one of the most common procedures undertaken worldwide and is recommended in unconscious patients. [neurologyindia.com]
He gave history of fall from bicycle 8 weeks back, following which he was unconscious and was admitted at another hospital. He had a bout of epistaxis 4 days after the trauma and recovered within a week and was discharged. [ijri.org]
On examination she had facial swelling with multiple lacerations and a brief history of unconsciousness at the time of accident. [apicareonline.com]
The diagnosis of abducens palsy in the unconscious patient can be made when the affected eye fails to abduct as the head is passively turned away from the side of injury. [skullbaseinstitute.com]
- Asymptomatic
In 1918 Blakeslee described specific anosmia for either pale pink or red verbenas, but not for both, in a group of healthy people ( Blakeslee 1918 ), and a few reports have since appeared describing familial congenital anosmia in otherwise mainly asymptomatic [medlink.com]
AT 6 weeks post-op, patient is asymptomatic and on follow-up. Presence of intracranial gas or air in an unintervened patient (non-iatrogenic) is abnormal. [ijri.org]
- Turkish
Russian Swedish Turkish Ukrainian Chinese Ukrainian These examples may contain rude words based on your search. [context.reverso.net]
Online Journal of Neurosciences (Turkish) 1999; 16: 1-3 2. Orebaugh SL, Margolis JH. Post traumatic intracerebral pneumatocele: case report. J Trauma 1990; 30:1577-1580 [ PUBMED ] 3. [ijri.org]
Respiratoric
- Anosmia
As part of our anosmia project, we will develop educational material on anosmia and other smell disorders to distribute to physicians. [monell.org]
Complete agenesis of the olfactory tract results in congenital anosmia. [medlink.com]
Frontal lobe tumors may compress the olfactory bulb and/or tracts and cause anosmia rarely. [en.wikiversity.org]
Is anosmia typical for sinus perforation? I have a burning sensation in the base of my left nostril and a feeling of excessive dryness. [nysinuscenter.com]
When undergoing the olfactory test, however, 82.5% showed anosmia, suggesting axon damage at the level of the lamina cribrosa. [nabis.org]
- Hyposmia
Vitamin A deficiency is associated with hyposmia and dysosmia (odors are unpleasant), possibly the result of nasal mucosal abnormalities. c. Zinc deficiency has been associated with hyposmia and dysosmia. d. Diabetes mellitus. [dartmouth.edu]
Imaging did not show any lesions of brain olfactory structures in these patients, but 82.5% of them had anosmia and 12.5% had hyposmia. [nabis.org]
As the names suggests, post-traumatic olfactory loss describes anosmia or hyposmia which results from a head injury. [fifthsense.org.uk]
HYPOSMIA OR ANOSMIA Hyposmia or anosmia is due to olfactory nerve damage from fracture of the cribriform plate. [webmedcentral.com]
Disturbances experienced by patients may be complete (anosmia, aguesia) or partial (hyposmia, hypoguesia) sensory loss, sensory distortion (dysosmia, dysguesia), or the presence of phantom sensations. [internationalbrain.org]
Gastrointestinal
- Nausea
Clinically, patients present with nonspecific symptoms like headache, nausea and vomiting [1], [10]. A "succession splash" is considered diagnostic of pneumocephalus [1]. Rarely patient can present with frontal syndrome [11]. [ijri.org]
- Vomiting
A 30-year-old man presented with headache, fever and vomiting of 7 days duration. He also complained of persistent nasal discharge of clear fluid since 7 days. [ijri.org]
Musculoskeletal
- Fracture
[…] and which counteracts tensile forces, converting them into compression forces at the fracture site. ventral plate floor plate. [medical-dictionary.thefreedictionary.com]
How can we effectively prevent aluminum plate fracture? Continued pain and tenderness suggest a growth plate fracture. [context.reverso.net]
[…] bone Cribriform plate fracture Fracture of anterior fossa Fracture of base of skull Fracture of basilar portion of occipital bone Fracture of clivus of occipital bone Fracture of ethmoid bone Fracture of ethmoid sinus Fracture of frontal sinus Fracture [icd9data.com]
The Le Forte Classification of central midface fractures Lѐ Forte II maxillary fracture Also referred to as sub-zygomatic fracture, the Lѐ Forte II fracture line is a fracture that detaches the maxilla from the rest of the mid face and is also known as [learning.uonbi.ac.ke]
Fracture of posterior fossa of base of skull Fracture of sphenoid Fracture of temporal bone Other fracture of base of skull Approximate Synonyms Closed fracture of frontal sinus Closed fracture of naso orbital ethmoid Closed fracture of naso orbital [icd10data.com]
Eyes
- Visual Impairment
Categories Subject: Research Article Subject: Biology and Life Sciences Subject: Anatomy Subject: Ocular System Subject: Optic Nerve Subject: Medicine and Health Sciences Subject: Ophthalmology Subject: Eye Diseases Subject: Glaucoma Subject: Visual Impairments [scienceopen.com]
Neurologic
- Meningism
However, evidence of meningeal enhancement was seen suggesting changes of early meningitis. CSF was seen in the ethmoid air cells and frontal sinus. [ijri.org]
The falx cerebri, one of the meningeal layers of the dura mater, attaches to the thin and curved posterior border of the crista galli. [kenhub.com]
Gunshot wounds of the head are of course a very important course of brain abseess and meningitis, but in civilian practice fortunately rare. [books.google.com]
The use of prophylactic antibiotics to avoid meningitis is a controversial topic. [radiologykey.com]
An untreated nasal CSF leak risks meningitis. So even though it's unlikely, someone with those symptoms after a significant nasal and facial impact injury needs to be evaluated. [realself.com]
- Amnesia
Associations have been found between the degree of injury, and duration of post-traumatic amnesia[2]. In contrast, gustatory disturbances are infrequent, occurring in less than 1% of cases. [internationalbrain.org]
- Confusion
CLEAR NON –STICKY FLUID DRAINING FROM THE NOSE sometimes rarely confused with allergic or vasomotor rhinitis. In traumatic cases CSF is mixed with blood. [webmedcentral.com]
Treatment
Key features include: Emphasis on a disease state management approach to patient assessment and treatment Promotion of a holistic, biopsychosocial model of patient assessment and care Review of current expert consensus on practice guidelines Exploration [books.google.com]
Therefore, a primary goal in the treatment of these fractures is the restoration of the occlusal relationship. Principles of treatment are similar to those in the treatment of mandible fractures. [implantandfacialsurgery.com]
They will often ask an ear nose and throat surgeon to check your nose seven to 10 days after the injury to see if the bones and cartilage need more treatment. [entuk.org]
Delay reduction and some other treatments for 3 to 5 days to allow edema to resolve. Click here for Patient Education NOTE: This is the Professional Version. [merckmanuals.com]
Prognosis
Written by over 100 acknowledged leaders in the field, and containing hundreds of tables, graphs, and photographic images, the text deals with issues of neuroimaging and neurodiagnostic testing, prognosis and outcome, acute care, rehabilitative care, [books.google.com]
Whilst the prognosis for post-traumatic patients is admittedly poor, some people may experience some improvement. [fifthsense.org.uk]
Multiple causes may coexist, further complicating evaluation, treatment, and determination of prognosis for recovery. Olfactory disturbances may be categorized as conductive or neurosensory. [internationalbrain.org]
Phelps CD (1982) Effect of myopia on prognosis in treated primary open-angle glaucoma. Am J Ophthalmol 93:622–628 CrossRef PubMed 4. [springermedizin.de]
Shoung HM, Sichez JP, Pertuiset B: The early prognosis of craniocerebral gunshot wounds in civilian practise as an aid to the choice of treatment. Acta Neurochir(Wien)1998;74 : 27-30. 4. [ijri.org]
Etiology
Back Home Nasal Fracture General Information Most frequent facial fracture Etiologies Altercations Accidents Sports-related Falls (children) Fractures classified as open or closed Based on integrity of nasal mucosa Most fractures occur towards tip of [fprmed.com]
Craniofacial traumas, including mild ones, represent one of the major etiologic causes of olfactory deficits. [nabis.org]
Anterior Skull Base Fractures Classification/Etiology Direct frontal trauma often results in anterior skull base fractures, so-called frontobasal injuries, with the “frontal” component of fractures involving the upper facial third (frontal bone/sinus [radiologykey.com]
CSF Rhinorrhoea is classified according to the etiology developed by omaya. He divided CSF Rhinorrhoea into traumatic and non-traumatic. subdividing the latter into non –traumatic with normal pressure and non traumatic with high pressure. [webmedcentral.com]
A retrospective analysis of facial fracture etiologies. Ann Plast Surg. 2008 Apr. 60(4):398-403. [Medline]. Cantrill SV. Facial trauma. Rosen P, ed. Emergency Medicine: Concepts in Clinical Practice. 4th ed. St. Louis, Mo: Mosby-Year Book; 1998. [emedicine.medscape.com]
Epidemiology
[…] features include: Emphasis on a disease state management approach to patient assessment and treatment Promotion of a holistic, biopsychosocial model of patient assessment and care Review of current expert consensus on practice guidelines Exploration of epidemiologic [books.google.com]
Epidemiology of US high school sports-related fractures, 2005-2009. Clin J Sport Med. 2010 Jul. 20(4):293-9. [Medline]. Hanba C, Svider PF, Chen FS, Carron MA, Folbe AJ, Eloy JA, et al. Race and Sex Differences in Adult Facial Fracture Risk. [emedicine.medscape.com]
In this study we have evaluated epidemiologic data in patients affected by olfactory deficits following minor craniofacial traumas. [nabis.org]
Pathophysiology
[…] on a disease state management approach to patient assessment and treatment Promotion of a holistic, biopsychosocial model of patient assessment and care Review of current expert consensus on practice guidelines Exploration of epidemiologic and basic pathophysiologic [books.google.com]
The underlying pathophysiology of primary open-angle glaucoma remains unclear, but the lamina cribrosa seems to be the primary site of injury and raised intraocular pressure is a major risk factor. [bioportfolio.com]
Fracture General Information Most frequent facial fracture Etiologies Altercations Accidents Sports-related Falls (children) Fractures classified as open or closed Based on integrity of nasal mucosa Most fractures occur towards tip of nose Bone is thinner Pathophysiology [fprmed.com]
Therefore, the ONH, especially the lamina cribrosa, has come into focus as a key pathophysiologic site in glaucomatous optic neuropathy. [entokey.com]
The role of cerebrospinal fluid pressure in glaucoma pathophysiology: the dark side of the optic disc. J Glaucoma 2008; 17:408–413. 10. Crawford DJ, Roberts MD, Sigal IA. [djo.eg.net]
Prevention
However attention to details of the technique, careful blunt dissection and a good knowledge of anatomy can help prevent above mentioned complications. [apicareonline.com]
It is therefore extremely important to obtain precise realignment of the fractured bone to prevent long-term visual changes. [implantandfacialsurgery.com]
A delay in diagnosis can by prevented by a careful initial examination. This patient first was seen in a nonspecialist environment. [pocketdentistry.com]
The reported mortality of intracranial insertion is as high as 64%, and hence prevention of this complication is important in all cases with maxillofacial trauma. [9] Although the insertion of NG tube is a very simple procedure with very low complication [neurologyindia.com]