Also known as: Head trauma
Three-year-old child presented with traumatic brain injury after being violently shaken and having his head slammed against a wall by his father. Patient initially breathing but deteriorated with posturing, seizures, bradycardia, hypertension (Cushing's triad), and bilaterally blown pupils indicating severe brain herniation. Despite aggressive resuscitation including mannitol, Dilantin, and consideration of burr holes, the patient went into PEA arrest and died.
Also known as: Head laceration
34-year-old assault victim with blunt trauma to head and face from home invasion. Patient initially alert with Glasgow Coma Scale of 12, presenting with open skull and facial fractures. Required intubation via retrograde technique due to airway compromise from facial bleeding.
Also known as: Skull fracture with brain exposure
Patient had open skull fracture as part of his assault injuries, complicating airway management and requiring neurosurgical consultation.
Also known as: Broken collarbone
Ten-year-old brother of Eddie with collarbone fracture from assault by his father, along with evidence of old rib and humerus fractures indicating chronic abuse.
Also known as: Broken rib
Old healed rib fractures discovered on imaging, indicating pattern of chronic physical abuse.
Also known as: Psychotic break
Dr. Clemente experiences acute psychotic episode with erratic behavior, disorganized thinking, paranoia, and aggression. He becomes combative with patients and staff, wanders into traffic, assaults motorists, and exhibits flight of ideas and grandiose delusions. Psychiatry diagnoses him as 'gravely disabled' and places him on 72-hour psychiatric hold. Episode attributed to severe sleep deprivation combined with PTSD from recent violent assault.
Also known as: PTSD
Contributing factor to Dr. Clemente's psychotic break, stemming from recent violent assault he experienced.
Also known as: Insomnia
Prolonged sleep deprivation identified as primary precipitating factor in Dr. Clemente's acute psychotic episode.