Approach to traumatic brain injury (pediatrics) Quiz: Ace Your Exams
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A 6-year-old girl is brought to the emergency department for evaluation of a closed head injury after a fall from a jungle gym. The patient tripped and fell landing directly on the right side of her head. Her parent reports she lost consciousness for about one minute, but right after when she came to, she was at her baseline functioning and since then has been behaving normally. She has no significant past medical history and takes no medication. Temperature is 37°C (98.6°F), pulse is 80/min, respirations are 24/min, blood pressure is 105/72 mmHg, and oxygen saturation is 99% on room air. On physical examination, the patient is well appearing, in no acute distress, with swelling over the right temporal scalp and a non-focal neurologic exam. She is urgently taken for a computed tomography (CT) scan of the brain without contrast. While undergoing the CT, she has non-bloody, non-bilious emesis several times and becomes lethargic. CT is shown below. Which of the following is the most likely diagnosis?
Reproduced from Radiopaedia
Reproduced from Radiopaedia
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