Answer
1)Abnormal findings
-Crescent shape hyper dense lesion at right fronto- parietal area
-Midline shift
2)Subdural hematoma of the right fronto temporal region.
3)Two indication for CT scan
-Post traumatic seizure
-GCS less than 13 during initial assessment or Drop in GCS during observation period (initially could be 15)
-Sign of basal skull fracture
-Suspected open or depressed skull fracture
-Sign of elevated ICP (> 1 projectile vomiting, papilledema, severe headache)
-Coagulopathy with any amnesia or Loss of consciousness since injury
-Any amnesia or loss of consciousness since injury if any (age > 65 years old, Coagulopathy or on warfarin, High velocity trauma)
-To confirm the diagnosis of stroke
-To rule out brain infection / space occupying lesion.
4)Treatment for above condition
-Position the patient 30 degree to reduce intra cranial pressure
-Give IV mannitol
-Emergency decompression surgery (open craniotomy with evacuation of the clot)