Head Injury

Reason for visit: Head injury following a fall from a bicycle. History: The injury occurred 2 hours ago. The patient fell off their bicycle and hit their head on the pavement. There was a brief loss of consciousness for approximately 1 minute, followed by vomiting. The patient reports a worsening headache since the incident. No amnesia or fitting episodes were noted. There has been no change in behavior since the injury. The patient does not have a clotting disorder and is not on anticoagulants. There is no evidence of drug or alcohol intoxication. No safeguarding concerns were identified. Examination: GCS score: 14/15 Pupil reactivity: Reactive bilaterally Pulse rate: 88 bpm Oxygen saturation: 98% on room air Spine examination findings: No tenderness or deformity noted Skull examination findings: Bruising on the right temporal region No signs of base of skull fracture No focal neurological deficits observed Cardiovascular: Heart sounds: Normal S1 and S2 No murmurs detected Respiratory: No respiratory distress Air entry: Equal bilaterally No crackles or rhonchi Abdomen, Pelvis: No tenderness noted Limbs: No abnormalities detected Indication for CT head: Due to the brief loss of consciousness and vomiting Head injury advice given: Advised to monitor for any worsening symptoms, such as increased drowsiness, persistent vomiting, or confusion, and to seek immediate medical attention if these occur.