A 70 year old man falls down two steps at home and hits his head. He did not lose consciousness and has no amnesia. He is on Warfarin for atrial fibri...

Question

A 70 year old man falls down two steps at home and hits his head. He did not lose consciousness and has no amnesia. He is on Warfarin for atrial fibrillation with a recent INR of 2.5. On examination he has a small scalp laceration but no focal neurology. According to NICE head injury guidance, what is the most appropriate management?

Accepted Answer

Arrange CT head within 1 hour of identifying risk factors

Answer

Discharge without imaging as there was no loss of consciousness

Answer

Arrange CT head within 8 hours of the injury

Answer

Admit for 24 hour observation without CT

Answer

Suture the wound and reassure only

uk-plab-1 MCQ (SBA): Head injury on anticoagulant