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Medicine

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Neurology

Question
23 out of 27
 

A pt is brought to the emergency as a case of head injury,

following a head on collision road traffic accident. His BP is 90/60

mmHg. Tachycardia is present. Most likely diagnosis is: (AIPG

2010)



A EDH
B SDH

C Intracranial hemorrhage
D Intraabdominal bleed

Ans. D

Intraabdominal bleed

1. Although extradural haemorrhage is the most common intracranial complication following head injury, the patient in question is suffering from severe hypotension of 90/60, & has tachycardia, which cannot be explained by extradural haemorrhage alone. A patient with head injury, more than often has other significant injuries and a thorough examination of other systems therefore is a prime necessassity.

2. An intraabdominal source of bleed, like a ruptured spleen for example is a more likely cause for hypotension in this patient.

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