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And Hippocrates said "There is no head injury so trivial it can be ignored, and none so serious the life must be despaired of..." Vic Calland -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of Peter Cutting Sent: 05 February 2007 13:00 To: [log in to unmask] Subject: 5 yr old Bump on head Just for general interest.. 5y old lad. 6/52 ago bumped head on railings at school. Small cut. S/b school nurse who very sensibly said..Hes ok its just small bruise with a graze. 2/52 parents thought 'bump' getting bigger..but child well 2/7 Vomiting child, sleepy 'not normal self'...... with large boggy swelling exactly over site of old injury...came to ED CT scan shows.... Haven't got the definitive yet but will follow up with radiology comment later regards Peter