Question

A 38‑year‑old with minor head injury (GCS 15), no vomiting, no anticoagulants, no seizure, no signs of skull fracture, and normal neuro exam presents 2 hours after injury. What is the recommended approach?

Accepted Answer

Observation without CT using a validated rule (e.g., Canadian CT Head Rule)

Answer

Immediate non‑contrast head CT

Answer

CT angiography of head and neck

Answer

MRI brain

Answer

Admit for 24‑hour observation with serial CTs

Practice question

A 38‑year‑old with minor head injury (GCS 15), no vomiting, no anticoagulants, no seizure, no signs of skull fracture, and normal neuro exam presents 2 hours after injury. What is the recommended approach?