Often have scalp hematoma or tenderness to palpation
Depression or crepitus may be palpable on physical exam
Raccoon eyes
Battle sign
Hemotympanum
Clear rhinorrhea or otorrhea may indicate CSF leak from dural tear associated with fracture
Skull fracture
Traumatic brain injury
Basilar skull fracture
Intracranial hemorrhage
Nasal fracture
Moderate-to-severe traumatic brain injury
Odontoid fracture
Elevated intracranial pressure