The value of radionuclide bone scanning in the early recognition of deliberate child abuse: Haase GM, et al, J Trauma 20:873–875, (Oct) 1980
✍ Scribed by Fred Leonard
- Publisher
- Elsevier Science
- Year
- 1981
- Tongue
- English
- Weight
- 136 KB
- Volume
- 10
- Category
- Article
- ISSN
- 1097-6760
No coin nor oath required. For personal study only.
✦ Synopsis
Most patients with traumatic hyphema should be hospitalized. A protective shield and patch is important, as is the avoidance of bending far forward. The head of the bed should be elevated 30 to 45 degrees, and strenuous activity is discouraged. Medical management of hyphema per se has not been shown to be effective, but is helpful for severe symptoms or complications. Surgery is hazardous, and should only be used in dire circumstances, such as intractable glaucoma. 8mall hyphemas usually disappear in four or five days, but the chance of recovering visual acuity of 20/50 or better with a large hyphema drops to 25% to 50%. (Editor's note: The author suggests no advantage to bilateral patching, and strict bed rest. The chief reason for admission is the necessity for daily ophthalmologic examination. It would be best to follow the wishes of the consultant.