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Epidural hematoma — ABEM Board MCQ

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ModerateTraumaEpidural hematomaABEM Board

A 20-year-old man presents as triage level 2 after a baseball strike to the temporal area. He had a brief loss of consciousness, then was lucid, and now has worsening headache, vomiting, and right pupillary dilation. Which of the following is the most likely diagnosis?

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Correct answer: AEpidural hematoma

A lucid interval after temporal trauma with rapid deterioration and ipsilateral pupillary dilation suggests middle meningeal artery epidural hemorrhage.

Reference: ACEP Clinical Policy: Mild Traumatic Brain Injury; ABEM EM Model