A 68-year-old woman slips on ice and sustains a minor head injury. She did not lose consciousness but now has a mild headache. She takes warfarin for ...

Question

A 68-year-old woman slips on ice and sustains a minor head injury. She did not lose consciousness but now has a mild headache. She takes warfarin for atrial fibrillation with INR 2.5. According to Canadian paediatric and adult head trauma principles applied to anticoagulated patients, what is the most appropriate next step?

Accepted Answer

Obtain urgent CT head to exclude intracranial haemorrhage

Answer

Discharge home with simple analgesia

Answer

Observe in the emergency department without imaging

Answer

Order skull X-ray only

Answer

Start prophylactic antiepileptic medication

ca-mccqe1 MCQ (SBA): Minor head trauma on anticoagulation