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Epidural haematoma — RCPSC EM MCQ

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ModerateTraumaEpidural haematomaRCPSC EM

A 19-year-old snowboarder has brief loss of consciousness, then wakes and speaks normally. One hour later he becomes drowsy with a dilated right pupil and left arm weakness. CT shows a biconvex extra-axial temporal collection. What is the most likely diagnosis?

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Correct answer: BEpidural haematoma

Epidural haematoma is correct: the clues indicate Epidural haematoma and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian CT Head Rule; ATLS neurotrauma practice