Approach to increased intracranial pressure Quiz: Ace Your Exams
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A 31-year-old man is brought to the emergency department by a supervisor for evaluation of injuries sustained during a fall. The two were working at a construction site when the patient fell backwards off a ladder, striking the back of his head on the cement driveway. The patient was able to stand at the scene and initially expressed head pain, but he has since become increasingly confused and drowsy. Medical history includes hypertension and tobacco use. Medications include lisinopril. Temperature is 37.0°C (98.6°F), pulse is 70/min, respirations are 12/min, and blood pressure is 140/85 mmHg. Glasgow Coma Scale (GCS) score is currently 11 but was 14 at the scene. Which of the following is the most likely diagnosis?
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