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Head Injury - Coggle Diagram
Head Injury
Complications
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Concussion-disturbance of brain function, rapid onset following injury, usually self limiting.
Post-concussion syndrome- may include multiple physical symptoms ie headaches, dizziness, nausea, balance, coordination, altered senses and cognitive changes such as behaviour.
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Problems with gait, mobility, muscle weakness.
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Anxiety, depression; PTSD.
Management
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Refer immediately, with accompanied competent adult in case of worsening or persistent clinical features including nasuea and vomiting/headaches. ?Complication.
Offer support and self care advice, advise symptoms normally resolve within 3 months and not usually serious.
Manage pain, provide effective analgesia if indicated.
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Ask about management of symptoms such as anxiety/nightmares/flashbacks, particularly if persistant.
Assess any issues with alcohol and drug misuse, offer support as indicated.
Refer for specialist assessment and management if possible signs of complications following a head injury - Neurology.
Investigation
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Observe for signs of basal skull fracture-clear fluid draining from ears or nose/bleeding from ears or nose/bruising behind ears/periorbital haematomas.
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In CHIDLREN-suspect non accidental injury should the child present with injuires no inline with explanation of cause/distorted story of cause. Any bruising to non bony part of the face or on both side of the face.
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