Sunday Scaries

Concussion – Part 1 (Sunday Scary)

THE CASE: 20-something year old male comes into the dept with bruising and swelling to his face. Pt states he was jumped yesterday and had followed up at a CITYMD but refused transfer to the ED for further imaging. Today he has come to the ED because his face is swollen and he is in pain with a slight headache. On physical exam, Pt had good ROM of his neck w/o pain, conjunctival hemorrhages bilaterally without any corneal abrasions under wood's lamp, a little slow in answering questions. CT of face showing no acute fractures just gross edema, and no abnormalities on CT of