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Unknown  |  1994-03-02  |  1.3 KB
open in: MacOS 8.1     |     Win98     |     DOS

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ConfidenceProgramDetectionMatch TypeSupport
100% file StarOffice Gallery theme 6%01�%02�%03A su, 1920296034 objects, 1st matoma is the enlarging collection of blood in the space between the dura mater and the brain. The common cause is the tearing default (weak)
99% file data default
100% xdgMime image/x-tga default
100% ffprobeID Electronic Arts cdata (ea_cdata) default (weak)


hex view
+--------+-------------------------+-------------------------+--------+--------+
|00000000| 04 00 0a 00 36 01 9c 02 | 95 03 41 20 73 75 62 64 |....6...|..A subd|
|00000010| 75 72 61 6c 20 68 65 6d | 61 74 6f 6d 61 20 69 73 |ural hem|atoma is|
|00000020| 20 74 68 65 20 65 6e 6c | 61 72 67 69 6e 67 20 63 | the enl|arging c|
|00000030| 6f 6c 6c 65 63 74 69 6f | 6e 20 6f 66 20 62 6c 6f |ollectio|n of blo|
|00000040| 6f 64 20 69 6e 20 74 68 | 65 20 73 70 61 63 65 20 |od in th|e space |
|00000050| 62 65 74 77 65 65 6e 20 | 74 68 65 20 64 75 72 61 |between |the dura|
|00000060| 20 6d 61 74 65 72 20 61 | 6e 64 20 74 68 65 20 62 | mater a|nd the b|
|00000070| 72 61 69 6e 2e 20 54 68 | 65 20 63 6f 6d 6d 6f 6e |rain. Th|e common|
|00000080| 20 63 61 75 73 65 20 69 | 73 20 74 68 65 20 74 65 | cause i|s the te|
|00000090| 61 72 69 6e 67 20 6f 66 | 20 76 65 69 6e 73 20 69 |aring of| veins i|
|000000a0| 6e 73 69 64 65 20 74 68 | 65 20 64 75 72 61 20 6d |nside th|e dura m|
|000000b0| 61 74 65 72 20 66 6f 6c | 6c 6f 77 69 6e 67 20 61 |ater fol|lowing a|
|000000c0| 20 62 6c 6f 77 20 74 6f | 20 74 68 65 20 68 65 61 | blow to| the hea|
|000000d0| 64 2e 20 54 68 69 73 20 | 6d 61 79 20 67 6f 20 75 |d. This |may go u|
|000000e0| 6e 6e 6f 74 69 63 65 64 | 20 62 79 20 74 68 65 20 |nnoticed| by the |
|000000f0| 70 61 74 69 65 6e 74 20 | 66 6f 72 20 77 65 65 6b |patient |for week|
|00000100| 73 20 62 65 66 6f 72 65 | 20 74 68 65 20 74 72 61 |s before| the tra|
|00000110| 75 6d 61 20 62 65 63 6f | 6d 65 73 20 73 75 66 66 |uma beco|mes suff|
|00000120| 69 63 69 65 6e 74 6c 79 | 20 73 79 6d 70 74 6f 6d |iciently| symptom|
|00000130| 61 74 69 63 2e 00 53 59 | 4d 50 54 4f 4d 53 2e 20 |atic..SY|MPTOMS. |
|00000140| 20 54 68 65 20 62 6c 65 | 65 64 69 6e 67 20 6f 63 | The ble|eding oc|
|00000150| 63 75 72 73 20 73 6c 6f | 77 6c 79 2c 20 62 75 74 |curs slo|wly, but|
|00000160| 20 69 6e 63 72 65 61 73 | 65 73 20 70 72 65 73 73 | increas|es press|
|00000170| 75 72 65 20 77 69 74 68 | 69 6e 20 74 68 65 20 73 |ure with|in the s|
|00000180| 6b 75 6c 6c 2c 20 64 69 | 73 70 6c 61 63 69 6e 67 |kull, di|splacing|
|00000190| 20 61 6e 64 20 70 72 65 | 73 73 69 6e 67 20 6f 6e | and pre|ssing on|
|000001a0| 20 62 72 61 69 6e 20 74 | 69 73 73 75 65 2e 20 48 | brain t|issue. H|
|000001b0| 65 61 64 61 63 68 65 73 | 20 61 6e 64 20 63 6f 6e |eadaches| and con|
|000001c0| 66 75 73 69 6f 6e 20 6d | 61 79 20 66 6f 6c 6c 6f |fusion m|ay follo|
|000001d0| 77 2c 20 61 6c 6f 6e 67 | 20 77 69 74 68 20 6f 6e |w, along| with on|
|000001e0| 65 2d 73 69 64 65 64 20 | 77 65 61 6b 6e 65 73 73 |e-sided |weakness|
|000001f0| 20 6f 6e 65 20 74 68 65 | 20 73 61 6d 65 20 73 69 | one the| same si|
|00000200| 64 65 20 61 73 20 74 68 | 65 20 69 6e 6a 75 72 79 |de as th|e injury|
|00000210| 2e 20 50 68 79 73 69 63 | 61 6c 20 65 78 61 6d 69 |. Physic|al exami|
|00000220| 6e 61 74 69 6f 6e 20 77 | 69 6c 6c 20 73 68 6f 77 |nation w|ill show|
|00000230| 20 61 62 6e 6f 72 6d 61 | 6c 20 70 75 70 69 6c 20 | abnorma|l pupil |
|00000240| 64 69 6c 61 74 69 6f 6e | 20 61 6e 64 20 6c 69 67 |dilation| and lig|
|00000250| 68 74 20 72 65 61 63 74 | 69 6f 6e 2e 20 53 70 65 |ht react|ion. Spe|
|00000260| 65 63 68 20 6d 61 79 20 | 62 65 20 73 6c 75 72 72 |ech may |be slurr|
|00000270| 65 64 20 69 66 20 74 68 | 65 20 68 65 6d 61 74 6f |ed if th|e hemato|
|00000280| 6d 61 20 6f 63 63 75 72 | 73 20 6f 6e 20 74 68 65 |ma occur|s on the|
|00000290| 20 6c 65 66 74 20 73 69 | 64 65 2e 00 44 49 41 47 | left si|de..DIAG|
|000002a0| 4e 4f 53 49 53 2e 20 20 | 43 41 54 20 61 6e 64 20 |NOSIS.  |CAT and |
|000002b0| 4d 52 49 20 73 63 61 6e | 73 20 77 69 6c 6c 20 73 |MRI scan|s will s|
|000002c0| 68 6f 77 20 61 62 6e 6f | 72 6d 61 6c 20 62 6c 6f |how abno|rmal blo|
|000002d0| 6f 64 20 63 6c 6f 74 74 | 69 6e 67 20 61 6e 64 20 |od clott|ing and |
|000002e0| 69 6e 64 65 6e 74 61 74 | 69 6f 6e 20 6f 66 20 74 |indentat|ion of t|
|000002f0| 68 65 20 73 6b 75 6c 6c | 2e 20 41 6e 67 69 6f 67 |he skull|. Angiog|
|00000300| 72 61 70 68 79 20 77 69 | 6c 6c 20 73 68 6f 77 20 |raphy wi|ll show |
|00000310| 69 6e 76 69 73 69 62 6c | 65 20 64 69 73 70 6c 61 |invisibl|e displa|
|00000320| 63 65 6d 65 6e 74 20 6f | 66 20 74 68 65 20 62 6c |cement o|f the bl|
|00000330| 6f 6f 64 20 76 65 73 73 | 65 6c 73 20 62 79 20 74 |ood vess|els by t|
|00000340| 68 65 20 63 6c 6f 74 74 | 69 6e 67 2e 20 58 2d 72 |he clott|ing. X-r|
|00000350| 61 79 73 20 73 68 6f 75 | 6c 64 20 63 6f 6e 66 69 |ays shou|ld confi|
|00000360| 72 6d 20 6c 6f 63 61 74 | 69 6f 6e 20 6f 66 20 69 |rm locat|ion of i|
|00000370| 6e 6a 75 72 79 20 62 79 | 20 72 65 76 65 61 6c 69 |njury by| reveali|
|00000380| 6e 67 20 61 20 73 6b 75 | 6c 6c 20 66 72 61 63 74 |ng a sku|ll fract|
|00000390| 75 72 65 2e 00 54 52 45 | 41 54 4d 45 4e 54 2e 20 |ure..TRE|ATMENT. |
|000003a0| 20 49 66 20 74 68 65 20 | 64 69 61 67 6e 6f 73 69 | If the |diagnosi|
|000003b0| 73 20 69 73 20 63 6f 6e | 66 69 72 6d 65 64 20 74 |s is con|firmed t|
|000003c0| 68 72 6f 75 67 68 20 6d | 61 6a 6f 72 20 74 65 73 |hrough m|ajor tes|
|000003d0| 74 73 2c 20 73 75 72 67 | 69 63 61 6c 20 74 72 65 |ts, surg|ical tre|
|000003e0| 61 74 6d 65 6e 74 20 73 | 68 6f 75 6c 64 20 66 6f |atment s|hould fo|
|000003f0| 6c 6c 6f 77 20 69 6d 6d | 65 64 69 61 74 65 6c 79 |llow imm|ediately|
|00000400| 2e 20 54 69 6d 65 20 69 | 73 20 6f 66 20 74 68 65 |. Time i|s of the|
|00000410| 20 65 73 73 65 6e 63 65 | 2e 20 54 68 6f 75 67 68 | essence|. Though|
|00000420| 20 6e 6f 74 20 74 68 65 | 20 6d 6f 73 74 20 63 6f | not the| most co|
|00000430| 6d 70 6c 65 78 20 6f 66 | 20 6e 65 75 72 6f 73 75 |mplex of| neurosu|
|00000440| 72 67 65 72 69 65 73 2c | 20 73 70 65 63 69 61 6c |rgeries,| special|
|00000450| 20 63 61 72 65 20 73 68 | 6f 75 6c 64 20 62 65 20 | care sh|ould be |
|00000460| 74 61 6b 65 6e 20 74 6f | 20 64 72 61 69 6e 20 63 |taken to| drain c|
|00000470| 6c 6f 74 2c 20 72 65 70 | 61 69 72 20 76 65 73 73 |lot, rep|air vess|
|00000480| 65 6c 73 20 61 6e 64 20 | 70 72 6f 76 69 64 65 20 |els and |provide |
|00000490| 63 6f 6e 74 69 6e 75 65 | 64 20 64 72 61 69 6e 61 |continue|d draina|
|000004a0| 67 65 20 73 6f 20 74 68 | 61 74 20 74 68 65 20 63 |ge so th|at the c|
|000004b0| 6c 6f 74 20 77 69 6c 6c | 20 6e 6f 74 20 72 65 66 |lot will| not ref|
|000004c0| 6f 72 6d 2e 20 50 72 6f | 70 65 72 20 73 75 72 67 |orm. Pro|per surg|
|000004d0| 65 72 79 20 75 73 75 61 | 6c 6c 79 20 61 6c 6c 6f |ery usua|lly allo|
|000004e0| 77 73 20 63 6f 6d 70 6c | 65 74 65 20 72 65 63 6f |ws compl|ete reco|
|000004f0| 76 65 72 79 2e 00 20 64 | 65 67 72 65 65 20 6f 66 |very.. d|egree of|
+--------+-------------------------+-------------------------+--------+--------+