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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Prognosis For Health Conditions In Case Of Head Injury

Approximately 2 hours ago an 18 month old male child fell from a 2nd floor window (approximately 12-15 feet), and landed on a concrete driveway on his head. X-rays indicate a fractured skull. There is bleeding from his right ear. There is a great amount of swelling in the right occipital area. Two CAT scans were performed, which show no inter-cranial cerebral bleeding or damage. I am the child s uncle and am asking what I need to be looking for in the near term, as well as what may be the prognosis in the longer term.
Mon, 8 Sep 2014
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Pediatrician,  's  Response
Thanks for posting your query at HealthCareMagic. I am sorry that your nephew has suffered a bad fall. Head injuries are serious if there is intracranial cerebral bleeding or damage where surgical intervention is likely to be required but as you say that is not the case. The bleeding from right ear is indicative of a posterior fossa injury or fracture and could be serious. The swelling in the right occipital area if present on the outside of the skull should indicate scalp haematoma and is not of much concern.

The ominious signs to look for in case of a head injury are severe head ache, torrential vomiting, unconsciousness and seizures. You would also have to keep unsteady gait and dizziness in consideration on account of the posterior fossa injury.

Hope that I have been able to answer your query. Feel free to revert back in case of further queries if any.
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Suggest Prognosis For Health Conditions In Case Of Head Injury

Thanks for posting your query at HealthCareMagic. I am sorry that your nephew has suffered a bad fall. Head injuries are serious if there is intracranial cerebral bleeding or damage where surgical intervention is likely to be required but as you say that is not the case. The bleeding from right ear is indicative of a posterior fossa injury or fracture and could be serious. The swelling in the right occipital area if present on the outside of the skull should indicate scalp haematoma and is not of much concern. The ominious signs to look for in case of a head injury are severe head ache, torrential vomiting, unconsciousness and seizures. You would also have to keep unsteady gait and dizziness in consideration on account of the posterior fossa injury. Hope that I have been able to answer your query. Feel free to revert back in case of further queries if any.