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> would you head CT him because "he is on aspirin"
But I will CT him because he's got a significant mechanism (for his age) and no "useful" skull to protect the grey stuff and evidence that the mechanism HAS resulted in significant force-transfer and blood vessel damage (hence the haematoma).
See more than one case a year like this here WITH positive CT findings despite the ONLY clinical finding being a haematoma. Have seen positive CT even without a haematoma and nothing else either - a just-under-one-year-old (can't recall exactly), lifted by 6yr old sister onto her shoulder and "went over", diving forehead first into hardwood floor. No external lesion. Normal on exam. No loss of consciousness. Had a bleed on CT - I can't recall which bleed it was but was NOT operated on eventually (as far as I know and recall)...
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