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Epidural hematoma — ABEM Board MCQ

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ModerateTraumaEpidural hematomaABEM Board

A 47-year-old man arrives as ESI 2 after an assault with head trauma. Initially lucid, he becomes somnolent. BP 166/88, HR 54, and CT head shows a biconvex temporal extra-axial hematoma with midline shift. Which of the following is the most likely diagnosis?

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Correct answer: AEpidural hematoma

Lucid interval and biconvex temporal extra-axial bleed suggest epidural hematoma.

Reference: Brain Trauma Foundation guidelines; ATLS 10th edition