Persevere Open Craniocerebral Injury Case Summary

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Patient Troinenko Mikhail Igorevich, 4 years old, is under medical treatment in Nizhegorodskii Regional Children’s Hospital from 22.01.17 untill now.
Diagnosis: severe open craniocerebral injury. There is high grade brain conrusion. Comminuted fracture of the right parietal bone, linear fracture of the left parietal, breakage of the squamous suture at the right and coronal suture, fracture of the left temporal bone; laminar and meningeal hematomas with low volume of the left frontal region and of basal regions of the right frontal region.
This trauma takes place at 22.01.17, at 12.30 patient has ride from the hill and was knocked down by adult person. The boy has flown up and fallen down to the ice and hurted with his head. Immediately was noted loss of consciousness.
…show more content…
Echocardiographic evaluation of coronary vessels – there are signs of diagonal trabeculum of left ventricle cavity. Cameras are not dilated, hemodynamics is preserved.
Abdominal ultrasonography, kidney and pleural cavities – without traumatic abnormalities.
Ophtalmological description - 22.01.17 – at the left - balanced, at the right –pupil is dilated, fundus is pale pink, veins are dilated.
Echocardiography – sinus rithm, heart rate 111 per minute, нормограмма.

CBC - 22.01.17- НВ-118 g\L: red blood cells -4.96*10*12, leukocytes -9,4*10*9. CBC - 25.01.17- НВ — 107 g\L: red blood cells - 4.58* 10* 12, leukocytes - 5,3*10*9, СОЭ-35 мм\ч.
Urine analysis – urine is yellow. Protein - 0,015, epithelium 1-2 in field, leukocytes 1-2 in field, red blood cells 0-1 in field.
HCV and HBSAg -

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