Case Study 7 A 14-year-old boy Is seen in the pediatrician’s office… Case Study 7A 14-year-old boy Is seen in the pediatrician’s office at the request of his high school athletic trainer to be cleared to return to play football. He is the star quarterback and the state championship game is In six days. During last night’s game, he was tackled from the side, sustaining a blow from the other player against his left shoulder. When he fell, he struck the right side of his head against the ground but did not lose consciousness. He remembers hitting his head and events of the game before and after the tackle. Subsequently he has had a doll, throbbing headache (described intensity is five out of 10), located globally. He denies associated visual disturbance, photophobia, phonophobia, nausea, vomiting and dizziness. He described no exacerbating factor for the headache and it is relieved with ibuprofen. He reports he felt “a little woozy” after the initial hit but feels tired only this morning. His mother says he slept an extra hour today but was not difficult to awaken; he has shown no change in his behavior. He has had no previous head injury. Examination of his head, neck, cranial nerves, strength, range of motion of all joints, sensation, gait, balance, coordination, and deep tendon reflexes is normal. He is oriented to month, date, day of week, year and time, able to recall five words immediately, but when asked to recall them five minutes later he could only remember three of the words. What is the most likely diagnosis?What is the next step in management?List factors with this condition that may warrant further evaluation with imaging. Health Science Science NursingNURSING MISC
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