MDM //

Patient is currently at baseline mental status and activity level per family. Patient does not have evidence of palpable skull fractures or step offs. Patient does not have an occipital, parietal or temporal hematoma. Denies LOC > 5 seconds. No signs of basilar skull injury including raccoon eyes, battle's sign, CSF rhinorrhea or hemotympanum. No nasal hematoma. Denies vomiting or headache. Denies severe mechanism of injury. Low suspicion for abuse. History consistent with exam findings, no delay in seeking care, parents appropriately concerned.



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