Q:

A patient was admitted to the emergency department after a head injury. When examined on arrival his GCS was 15 and then at night his GCS deteriorated to 12. What investigation should be done?

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A patient was admitted to the emergency department after a head injury. When examined on arrival his GCS was 15 and then at night his GCS deteriorated to 12. What investigation should be done?


  1. CT head
  2. XR skull
  3. IV mannitol
  4. Drill a burr hole
  5. Shift to OR

All Answers

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The key is A. CT head. [Initial GCS 15 followed by later GCS 12 are suggestive of intracranialhaemorrhage. So the best investigation to be done is CT head].

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