Key CT Findings in Epidural Hematoma 🩻 | Trauma (Emergency Medicine)

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► THIS VIDEO will walk you through the essential differences between epidural and subdural hematomas using clear and engaging visuals. 🧠📊 In this comprehensive overview, we’ll start with a detailed example of an epidural hematoma, showcasing a large collection of hyperdense blood on the right side of the brain. You'll learn about its characteristic biconvex shape, how it doesn't cross suture lines, and why it's often associated with mass effect. We’ll also discuss the causes, typically due to direct blows to the skull, and the classic presentation involving a loss of consciousness followed by a lucid interval. 📈🧠

Next, we transition to subdural hematomas, explaining how they appear hyperdense when acute but can become isodense over time. You’ll discover the differences in shape, as subdurals are crescent-shaped and cross suture lines. The video highlights the pathophysiology, which involves the disruption of bridging veins due to shear forces, and why subdurals accumulate more slowly, often linked to relatively mild trauma. We’ll also cover why they are more common in elderly patients and those on anticoagulants. 📉🌙

Throughout the video, we'll use CT images to illustrate these concepts, showing you real-life examples of large and dramatic subdural hematomas, and discussing their implications, such as significant mass effect and midline shift. By the end of this video, you’ll have a solid understanding of how to identify and differentiate these two types of hematomas, enhancing your diagnostic skills and clinical knowledge. 📅🔍

Join us in exploring these critical aspects of neurotrauma and elevate your understanding of brain injuries. Don't forget to like, subscribe, and hit the notification bell for more high-yield medical content. 👍🔔👩‍⚕️👨‍⚕️

► CHAPTERS
00:00 Epidural Hematoma Characteristics
01:02 Epidural Hematoma Pathophysiology
01:31 Epidural Hematoma Clinical Presentation
02:24 Subdural Hematoma Characteristics
03:46 Pathophysiology of Subdural Hematoma
04:17 Clinical Presentation of Subdural Hematoma
04:56 Management of Subdural Hematoma

► THE PROF 👨‍🏫
Dr. Julianna Jung is an Assistant Professor of Emergency Medicine at the Johns Hopkins University School of Medicine, USA.
She obtained her MD at Johns Hopkins University in 1999. Since 2006, she is the Director of Medical Student Education in the Emergency Medicine Department, and she was appointed the Associate Director of the Johns Hopkins Medicine Simulation Center in 2011.
She directs several major educational initiatives for medical students at Johns Hopkins, and her work has been recognized with several teaching awards, including the prestigious George J. Stuart Award.
Within Lecturio, Dr. Jung teaches courses on Emergency Medicine.

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