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{
    "pk": 1010,
    "title": "Point-of-care Ultrasound to Distinguish Subgaleal and Cephalohematoma: Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Cephalohematomas generally do not pose a significant risk to the patient and resolve spontaneously. Conversely, a subgaleal hematoma is a rare but more serious condition. While it may be challenging to make this diagnostic distinction based on a physical examination alone, the findings that differentiate these two conditions can be appreciated on point-of-care ultrasound (POCUS). We describe two pediatric patient cases where POCUS was used to distinguish between a subgaleal hematoma and a cephalohematoma.\nCase Reports:\n We describe one case of a 14-month-old male brought to the pediatric emergency department (PED) with concern for head injury. A POCUS examination revealed a large fluid collection that did not cross the sagittal suture. Thus, the hematoma was more consistent with a cephalohematoma and less compatible with a subgaleal hematoma. Given these findings, further emergent imaging was deferred in the PED and the patient was kept for observation. In the second case an 8-week-old male presented with suspected swelling over the right parietal region. A POCUS examination was performed, which demonstrated an extensive, simple fluid collection that extended across the suture line, making it more concerning for a subgaleal hematoma. Given the heightened suspicion for a subgaleal hematoma, the patient was admitted for further imaging and evaluation.\nConclusion:\n Point-of-care ultrasound can be used to help differentiate between a subgaleal hematoma and a cephalohematoma to risk-stratify patients and determine the need for further imaging.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "ultrasound"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "pediatrics"
        },
        {
            "word": "point-of-care"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3br8879p",
    "frozenauthors": [
        {
            "first_name": "Josie",
            "middle_name": "",
            "last_name": "Acuña",
            "name_suffix": "",
            "institution": "University of Arizona, Department of Emergency Medicine, Tucson, Arizona",
            "department": "None"
        },
        {
            "first_name": "Srikar",
            "middle_name": "",
            "last_name": "Adhikari",
            "name_suffix": "",
            "institution": "University of Arizona, Department of Emergency Medicine, Tucson, Arizona",
            "department": "None"
        }
    ],
    "date_submitted": "2021-04-19T12:22:38-04:00",
    "date_accepted": "2021-04-19T12:22:38-04:00",
    "date_published": "2021-04-19T12:23:30-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1010/galley/757/download/"
        }
    ]
}