Question of the Week

For April 13, 2021

A father brings his 11-month-old daughter to the emergency department one hour after he saw her fall off a bed from a height of 2 feet onto a hardwood floor. She immediately cried and never lost consciousness. After calming down, she has not vomited and is behaving normally.

The child is awake and alert, and she appears well. Examination reveals a bruise on the left frontal forehead but no signs of bruising elsewhere on her body.

Which one of the following next steps is most appropriate for this patient?

Observe for a few hours and discharge home
Obtain MRI of the brain
Obtain plain radiographs of the skull
Obtain CT of the head
Obtain a full skeletal survey