A 78-year-old on apixaban falls down stairs. He has brief loss of consciousness, GCS 15, vomiting once, occipital haematoma, and no focal deficit.

Question

A 78-year-old on apixaban falls down stairs. He has brief loss of consciousness, GCS 15, vomiting once, occipital haematoma, and no focal deficit. What is the most appropriate investigation?

Accepted Answer

Non-contrast CT head

Answer

Outpatient skull radiograph

Answer

Serum apixaban level as the sole test

Answer

MRI brain in 2 weeks

Answer

No imaging if GCS remains 15

Anticoagulated head injury — RCPSC EM MCQ

A 78-year-old on apixaban falls down stairs. He has brief loss of consciousness, GCS 15, vomiting once, occipital haematoma, and no focal deficit. What is the most appropriate investigation?