Traumatic Brain Injury - Case Study Part 1: Difference between revisions
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== Social History == | == Social History == | ||
James is a 43 year old computeer programmer. He lives with his wife, one son and one daughter (Age 9 & 12 respectively) in a two storey house. He is a sports enthusiast, playing social 5 a side football with work colleagues weekly, and in his spare time enjoys running and biking. He also has an interest in Gaming, and in making or modifying computers and helps out at his local Coder Do Jo, where his children learn about computers. | James is a 43 year old computeer programmer. He lives with his wife, one son and one daughter (Age 9 & 12 respectively) in a two storey house. He is a sports enthusiast, playing social 5 a side football with work colleagues weekly, and in his spare time enjoys running and biking. He also has an interest in Gaming, and in making or modifying computers and helps out at his local Coder Do Jo, where his children learn about computers. | ||
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== Past Medical History == | == Past Medical History == | ||
No significant Past medical History. | No significant Past medical History. | ||
ORIF Left Radial Fracture 3 years ago following Fall from Bicycle | ORIF Left Radial Fracture 3 years ago following Fall from Bicycle | ||
== Presenting Condition == | == Presenting Condition == | ||
Traumatic Brain Injury with intracranial bleed, skull fracture, diffuse brain odema | Traumatic Brain Injury with intracranial bleed, skull fracture, and diffuse brain odema | ||
Intubated and Ventilated | Intubated and Ventilated | ||
Revision as of 23:43, 18 September 2019
Social History[edit | edit source]
James is a 43 year old computeer programmer. He lives with his wife, one son and one daughter (Age 9 & 12 respectively) in a two storey house. He is a sports enthusiast, playing social 5 a side football with work colleagues weekly, and in his spare time enjoys running and biking. He also has an interest in Gaming, and in making or modifying computers and helps out at his local Coder Do Jo, where his children learn about computers.
Past Medical History[edit | edit source]
No significant Past medical History. ORIF Left Radial Fracture 3 years ago following Fall from Bicycle
Presenting Condition[edit | edit source]
Traumatic Brain Injury with intracranial bleed, skull fracture, and diffuse brain odema Intubated and Ventilated
History of Presenting Condition[edit | edit source]
Sustained a traumatic brain injury following a road traffic accident on his bicycle. His bicycle was hit side on by a car, which propelled James off the bicycle and into oncoming traffic. His helmet was broken during the impact. GCS 6 at the scene and required intubation prior to transfer to the Emergency Room.
Investigations[edit | edit source]
- Mild subdural hematoma
- Moderate right intracranial bleed with ventricular and peri mesencephalic cistern obliteration consistent with a trans tentorial herniation.
- Large Depressed Fracture Right Temperoparietal Area and Large Scalp Wound
- Right Clavicle Fracture and 4thRib Fracture
- Diffuse Brain Swelling
Surgery[edit | edit source]
- Right Hemicraniectomy for removal of epidural and subdural hematoma to manage intracranial pressure
- Left Craniotomy for the placement of an External Ventricular Drain, which remained in situ for 14 Days
- Tracheostomy Tube Placement 4 Days following the Accident
- PEG Tube for Nutritional Support
