21st August 2020

A 23-year-old man is brought to A&E after being kneed in the head while playing rugby

A 23-year-old man is brought to A&E after being kneed in the head while playing rugby. His teammate tells the triage nurse that he lost consciousness for about 30 seconds then was confused when he came to, which has resolved now. The accident happened about an hour before. His teammate has brought him to A&E because he thought it was safest to get him checked out. Unfortunately, it is very busy in the A&E department, and there is a long wait to be seen. About 3 hours after arriving in the department, the patient’s friend calls out for help because the patient is having a seizure and has vomited. After the seizure has stopped, the patient is rushed for an urgent head CT. Which of the following diagnoses is most likely?

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