Dating skull fractures pau gasol dating history
Skull fractures may occur with no associated neurologic damage, and conversely, fatal injury to membranes, blood vessels, and brain may occur without overlying fracture.
However, skull fractures may be associated with intracranial hemorrhage, which may create an intracranial space-occupying lesion.
A head injury or skull fracture can be very serious, even if the child initially seems fine.
In some cases, an historian may initially be considered reliable and later be considered to be unreliable.A history is considered reliable when the patient is awake, alert, and appropriately attentive.This implies a person is not under the influence of any intoxicants, has the cognitive development to respond in an appropriate manner, is not so distracted by the injury that information cannot be relied upon, and can indicate areas of pain or injury.A typical skeletal survey comprises plain films of the following: The ability to date injuries is critical for medicolegal purposes, and thus must be done carefully (please refer to specialist text for specific guidelines). Metaphyseal (and costochondral junction) injuries do not heal with periosteal reaction and if visible are less than 4 weeks old.Traumatic periosteal injury can be seen up to 7 days post injury (and therefore can be used for dating). Skull fractures also do not heal with periosteal reaction and if seen are less than 2 weeks old.