Medical Surgical Nursing

(Tina Sui) #1

Manifestations



  • Manifestations depend upon the severity and location of the injury

  • Scalp wounds

    • Tend to bleed heavily, and are also portals for infection



  • Skull fractures

    • Usually have localized, persistent pain

    • Fractures of the base of the skull

      • Bleeding from nose, pharynx, or ears

      • Battle’s sign—ecchymosis behind the ear

      • CSF leak—halo sign—ring of fluid around the blood stain from drainage






Basilar Fractures Allow CSF to Leak from the Nose and Ears


Manifestations of Brain Injury



  • Altered LOC

  • Pupillary abnormalities

  • Sudden onset of neurologic deficits and neurologic changes; changes in sense,


movement, reflexes

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