A 5-year-old child is brought to clinic. His parents request a CT scan for a minor head injury that occurred 2 days ago; he briefly cried but had no l...

Question

A 5-year-old child is brought to clinic. His parents request a CT scan for a minor head injury that occurred 2 days ago; he briefly cried but had no loss of consciousness, vomiting or neurologic symptoms. Examination is normal. According to Choosing Wisely Canada, what is the MOST appropriate response?

Accepted Answer

Explain that CT is not indicated for minor head injury without risk factors and discuss observation and red flags

Answer

Order the CT scan to reassure the parents

Answer

Admit the child for 24-hour observation

Answer

Order skull X-ray instead

Answer

Start prophylactic anticonvulsants

ca-mccqe1 MCQ (SBA): Minor head injury - imaging decision