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Seen in the ED: Headache Following Bush Encounter


History of present illness

A man in his early twenties brought to the ED for a head injury after crashing a street-side rented motorized scooter. No surprise – he had no helmet on. He complains of headache but no other injuries. Bystanders said he ended up in a bush after first hitting the pavement. They also reported to the medics that he lost consciousness for about 20 seconds.

Vital signs & physical examination

Vital signs are normal. Physical exam is otherwise normal except for and occipital contusion.

Initial diagnostic imaging (CT head, below)

(CT of patient's head obtained in emergency department)

(CT of patient's head obtained in emergency department)

What is the most likely diagnosis?

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