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Internal Medicine

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56 years old patient with blunt trauma on the head who had decreased level of consciousness right after the injury but improved gradually to decline later within 24 hours and presented to ER where CT scan of the head was obtained.



The patient was admitted to the intensive care unit.


What is your diagnosis?

  • Epidural hematoma

  • Subdural hematoma

  • Subarachnoid hematoma

  • Intracerebral hemorrhage


N G
M I

@EveryoneThe fact that this patient had a lucid period and the appearance of the bleed with a convex/lens-shape hemorrhage indicates that this is more likely epidural hematoma as compared to concave/crescent shaped hemorrhage in subdural hematoma. Thank you @Nader Guma for your comment and images.

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