Bone Fracture Case Study

1486 Words 6 Pages
Abstract
Caitlyn Jenner a 65 year old female patient fell down a marble staircase and hit the left side of her skull twice when she was rushed into the emergency room. After radiographic images were taken and a skull series was performed it was evident that the patient had an open communited depressed fracture of the left temporal bone. Other radiological modalities were utilized in diagnosing the type and severity of her fracture. After diagnosis was made apparent then the appropriate treatment was provided to help Ms. Jenner on a road to recovery. Depressed Skull Fracture
A 65 year old female model named Caitlyn Jenner walked into the emergency room after suffering trauma to the skull. The incident happened in the early morning while
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Linear fractures are the most common, followed by depressed and basilar skull fractures. The most common reasons of head injury in adults include assaults, motor vehicle collisions, and like Ms. Jenner’s case falls. Patients who obtain a fracture of the temporal bone are at high risk for extra-axial hematoma which is bleeding beneath the skull but outside the brain parenchyma. This is due to the temporal bone's relative weakness and the proximity of the middle meningeal artery and vein. Serious symptoms of a skull fracture which Ms. Jenner experienced include: bleeding from the wound caused by the trauma, near the location of the trauma, or around the eyes, ears, and nose. Also there maybe pain at the site of the trauma, swelling at the injured area, or redness or warmth at the trauma site. Less severe symptoms are headache, nausea, and vomiting (Krucik, …show more content…
Medication, occasionally counting surgery, is required if the fissure creates complications. Temporal bone fractures induce numerous damages to the internal ear. Damages encompass burst of the eardrum and injury to the ossicles, the cochlea, the vestibular apparatus, or the nerve that regulate muscles of the visage. Occasionally, serous fluid taken away from the brain and spinal cord (cerebrospinal fluid) flows from the brain into the fracture and emerge as unclouded fluent depleting from the ear or nose. That flowing proves that the brain is unprotected to severe virus from microbes within the ear canal. CT is the modality of choice for temporal bone fractures. Surgery is crucial only if the damage leads to serious complications. In case the facial paralysis is prompt and harsh, surgical intervention may be required. But, if moderate, a corticosteroid drug is recommended. If the ossicles are damaged, surgical intervention is required. Hearing loss emerging from injury to the cochlea or its nerve is mostly perpetual. Folks affected by the flow of cerebrospinal fluid must be admitted. If flowing exceeds, insertion of a drain adjacent the spinal cord in the lower back (lumbar drain) may be needed to subside infection. (Sam P. Most,

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