A 2-Year-Old With Intracranial Hemorrhage

Authors: Jamie Hixon, MD; Stefanos Intzes, MD; Gautam Malkani, MD Series Editor: Sheryl A. Falkos, MD; Rosa A. Vidal, MD

Disclosures

August 07, 2006

Evaluation

Physical Examination

General appearance: Patient intubated and sedated

Vital signs: T 99.8°F, HR 191, respiratory rate 18, BP 90/61 mm Hg

HEENT: Head normocephalic and atraumatic; pupils equal and reactive to light at 3 mm in size bilaterally, no icterus; endotracheal tube in place

Cardiac: Regular rate and rhythm, 2/6 systolic ejection murmur

Respiratory: Upper airway sounds transmitted throughout, good bilateral breath sounds

Abdomen: Soft, nontender, nondistended, active bowel sounds; without hepatosplenomegaly

Extremities: No clubbing, cyanosis, or edema. Good peripheral pulses. Capillary refill 2-3 seconds. No rashes noted.

Neurologic: Spontaneous eye movement. Moving all extremities in a purposeful manner. Glasgow coma score 7.

Initial Laboratory Analyses

CBC with differential: Hemoglobin 8.5 g/L, hematocrit 25%, platelets 143,000; total white blood count 16,800 with 92% granulocytes, 0% bands, 4% lymphocytes

Metabolic profile: Within normal limits

Arterial blood gas: pH 7.39, pCO₂ 35, pO₂ 61, HCO₃ 21

Coagulation panel: PT 13.6, PTT 35, INR 1, fibrinogen 540

Radiologic Evaluation

(Enlarge Image)

Figure 1.

CT scan of the brain showing left frontal temporal hemorrhage.

(Enlarge Image)

Figure 2.

CT scan of the brain showing left frontal temporal hemorrhage.

References

1 2 3 4 5

Next Section

Cite this: A 2-Year-Old With Intracranial Hemorrhage - Medscape - Aug 07, 2006.

Comments

Commenting is limited to medical professionals. To comment please Log-in.

Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.