Watchful waiting |
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Watchful waiting (also watch and wait or WAW) is an approach to a medical problem in which time is allowed to pass before medical intervention or therapy is used. During this time, repeated testing may be performed.
Related terms include expectant management,[1][2] active surveillance (especially active surveillance of prostate cancer),[3] and masterly inactivity.[4] The term masterly inactivity is also used in nonmedical contexts.[5]
A distinction can be drawn between watchful waiting and medical observation,[6] but some sources equate the terms.[7][8] Usually, watchful waiting is an outpatient process and may have a duration of months or years. In contrast, medical observation is usually an inpatient process, often involving frequent or even continuous monitoring and may have a duration of hours or days.
Signs of a fracture affecting the base of the skull include raccoon eyes, rhinorrhea, and otorrhea or ecchymosis behind the ear. Expectant management is the rule. From our perspective, the significance of a base of the skull fracture is that it indicates that the patient sustained very severe head trauma