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The diagnosis is fracture of the parietal bone.
Sutures on skull films are frequently confused with fractures. Sutures, however, are serpiginous and don’t run in a straight line.
CT is the study of choice for the evaluation of head trauma when radiography is indicated, given its sensitivity and ability to identify intracranial injury.
As a next step, infants with simple linear fractures should be admitted for overnight observation regardless of neurological status.
Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
[taq_review]
4-year-old patient incurs blow to head
Nahum Kovalski, BSc, MDCM
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