What is the diagnosis and management for an 11-year-old with a suspected mild TBI and concussion after being hit on the head with a baseball?

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Differential Diagnosis for 11-year-old Baseball Player

  • Single most likely diagnosis
    • Concussion: The patient's initial symptoms of disorientation, muffled hearing, headache, and unsteadiness after being hit on the head with a baseball are consistent with a concussion. The fact that he has improved significantly over the past 2 hours also fits with this diagnosis, as concussions often have a transient course.
  • Other Likely diagnoses
    • Scalp laceration or contusion: Although the patient was wearing a helmet, it's possible that the impact caused a laceration or contusion to the scalp, which could explain the initial headache and tight sensation.
    • Post-traumatic headache: The patient's description of a tight sensation in his head, which he now describes as eyestrain, could be a post-traumatic headache, which is a common sequela of head injury.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Epidural hematoma: Although the patient's symptoms have improved, it's essential to consider the possibility of an epidural hematoma, which can present with a lucid interval followed by rapid deterioration.
    • Subdural hematoma: Similar to an epidural hematoma, a subdural hematoma can be a devastating consequence of head trauma, and its presentation can be subtle, especially in the early stages.
    • Skull fracture: A skull fracture could be present, even with a helmet, and could lead to further complications such as cerebrospinal fluid leak or infection.
  • Rare diagnoses
    • Concussive syndrome: This is a rare condition characterized by persistent symptoms after a concussion, which can include headaches, dizziness, and cognitive difficulties.
    • Post-concussive syndrome: Similar to concussive syndrome, post-concussive syndrome is a rare condition that can occur after a concussion, characterized by persistent symptoms such as headaches, fatigue, and irritability.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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