Epidural Hematoma

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FACTS

 

HPI

  • “talk and deterioriate” history, etiologies
    • hyponatremia
    • hypoxia
    • hepatic encephalopathy
    • hypoglycemia
    • adrenal insufficiency
    • drugs / etoh withdrawal

PHYSICAL EXAM


IMAGING

  • bleeds will look more “crescent” shaped and respect suture lines

A/P
  • be extra careful with posterior fossa EDH → can crowd the foramen magnum rapidly
  • if volume > 30 cm3, needs evacuation regardless of GCS