signs of skull base #

(Illustration by Jason M. McAlexander, MFA. Copyright © 2007 Wild Iris Medical Education)

Signs if skull base fracture are:

• CSF rhinorrhea or otorrhea (can be a relatively early indication of basilar skull fracture)
• Racoon eyes (fracture of the floor of the anterior cranial fossa --> discoloration around the eyes --> after several hours, appeared as periorbital ecchymosis or racoon eyes).
• Battle sign (after 8 - 12 hours, bruises at the mastoid process)
• Hemotympanum

Wassalam.

clubbing

CLUBBING (with ABCDEF for lung diseases)

C yanotic heart disease
L ung diseases

• A bscess
• B ronchiectasis
• C ystic fibrosis
• D on't say COPD!!!
• E mpyema
• F ibrosis

U lcerative colitis + Crohn's (Inflammatory Bowel Diseases)
B iliary cirrhosis
B irth defect
I nfective endocarditis
N eoplasm (lung cancer, mesothelioma)
G I malabsorption syndromes (Coeliac disease)

Wassalam.

purpura

there is a cute little girl in 6S with purpura at both legs,with no history of fever,anemic and spontaneous bleeding(gum bleeding,epistaxis).diagnosis haven't make yet but i think it is idiopathic thrombocytopenia purpura(ITP).But we still waiting for the investigation's result.

so,here is an article about purpura in child:P
evaluating the child with purpura