Trauma may occur on the cellular or global level. In the context of multisystem trauma, a hypovolemic state may create insufficient cerebral perfusion. Such hypovolemic states may be created by other "traumatic" insults, such as primary peritonitis or ruptured appendicitis with hypovolemia. Children may have transient loss of consciousness after closed head injury. Occasionally, a seizure may occur immediately after closed head injury, resulting in AMS from the postictal state. The signs and symptoms of acute epidural hematoma are typically posttraumatic loss of consciousness followed by a lucid interval and then rapid AMS. Acute epidural hematoma can also present with a gradual loss of consciousness associated with ipsilateral pupillary dilatation. As in adults, subdural hematomas may be acute, subacute, or chronic. Most children with subdural hematomas have external signs of trauma. The exceptions are abused infants, typically less than 6 months of age, who may present without external signs of injury. Abused children who are shaken typically present with a history of vomiting, seizures, and changes in respiratory pattern associated with AMS. Retinal hemorrhages or a tense fontanel may suggest the diagnosis. Children with blunt head trauma are more inclined than adults to develop diffuse cerebral swelling, increased intracranial pressure, and AMS without extracerebral or intracerebral collections of blood. While uncommon in childhood, cerebrovascular accidents, including bleeding from arteriovenous malformations, may cause focal neurologic deficits followed by status epilepticus and coma.

How To Win Your War Against Bronchitis

How To Win Your War Against Bronchitis

Sick And Tired Of Your Constant Cough? Is Your Bad Immune System Leading You To The Path Of Fever And Sore Chest? You Sure Have A Reason To Panic BronchitisThere Is Always A Way Out And, This Is It Finally Discover Some Of The Most Effective Tips That Can Curb Bronchitis, And Its Repeated Bouts Learn How To Keep The Chronic Cough, And Sore Chest Away Breathe Free, And Feel The Whiff Of Fresh Air, With No Hassles

Get My Free Ebook

Post a comment