A 10-year-old boy is seen in the emergency department after falling down a flight of stairs and hitting his head. The child will be monitored overnight for complications. Which occurrence in the coming hours will warrant further assessment?
A) The child reports a backache.
B) The child is increasingly irritable with his mother and caregivers.
C) The child refuses offers of snacks.
D) The child reports his stomach is upset.
Ans: B
After a head injury the patient should be closely observed for neurological changes. Behavioral changes such as lethargy and irritability should be evaluated for the potential development of complications.
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