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"wait and see"?. Because the pattern of bruising was odd for injury. She was mostly in a "mohammedan praying" posture quite unaware of her surroundings or her husbands presence - like a post-ictal state or the "fighting drunk" of Saturday night fame, though no smell of alcohol. Maybe like in an acute psychosis? She was very noisy. Also because her vital signs stayed normal. Is it fair to apply Glasgow Coma Scoring to someone who may not have had a head injury? For those reasons I did not immediately intubate and scan though SAH was in my mind, as was meningitis or some problem from her recent pregnancy. It often happens that odd presentations become less odd if you wait a bit. Not always, but sometimes. After 1 hour the vital signs were the same but her temp was 38.0