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سجل عبر فيسبوكحالة سريرية
القصة المرضية HPI
A 64-year-old woman slips and falls on an icy sidewalk. She hits the side of her head on the curb. After a momentary loss of consciousness she recovers, but is in some pain. Fifteen minutes later her level of consciousness begins to fluctuate and she is brought to the emergency room comatose. Magnetic resonance imaging (MRI) of the patient's head within the first few hours of injury should reveal which of the following? [/eng]
[eng] A normal brain
Intracerebral hematoma
Temporal lobe contusion
Subarachnoid hemorrhage
Epidural hematoma
[eng] A normal brain
Intracerebral hematoma
Temporal lobe contusion
Subarachnoid hemorrhage
Epidural hematoma
امراة عمرها 64 عام سقطت على طريق جليدي و ارتطم رأسها و بعد دقائق من فقدانها للوعي صحت و لكنها تشعر بالالم .بعد 50 د من فقدانها للوعي بدأت fluctuate و أحضرت الى الاسعاف . الرنين المغناطيسي للرأس خلال الساعات الأولى للاصابة سيظهر :
دماغ طبيعي
ورم دموي داخل الدماغ
رض الفص الصدغي
نزف تحت العنكبوت
ورم دموي فوق الجافية
سهلة كتير كتير ^^
المرجع
medscape
Sat, 2011-04-02 14:09
kandy
بعد التخرج
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The lucid interval
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The history is typical for an epidural hematoma. Damage to the middle meningeal artery allows blood at arterial pressures to dissect in the potential space that exists between the dura mater and the periosteum of the skull. With MRI, the epidural hematoma should be evident soon after the injury, and will certainly be evident by the time the patient is symptomatic.
thanx