13th August 2024

A 73-year-old lady is referred to the medical team after falling over at home. She cannot recall the events surrounding the fall

A 73-year-old lady is referred to the medical team after falling over at home. She cannot recall the events surrounding the fall but thinks she hit her head and hurt her right hip. She also reported feeling nauseous. She has a past medical history of atrial fibrillation, type 2 diabetes mellitus, chronic kidney disease, hypertension and rheumatoid arthritis. She has no known cognitive issues. On examination, her observations are normal. Physical examination shows periorbital bruising bilaterally. Her neurological examination is normal.

Which of the following findings warrants an urgent CT head within 1 hour?

Select the SINGLE most appropriate option from the list below. Select ONE option only.