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Blunt Force Head Injury: Focal and Diffuse Injuries

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The scalp and skull may be injured by contact injury. The presence of scalp bruising is indicative of contact injury and in some situations may provide clues to the possible intracranial pathology. Occipital bruising is typically associated with a backward fall and contrecoup contusions involving the frontal and temporal tips. Incised wounds are usually insignificant and easily managed in the emergency room, but in some cases they may be associated with blood loss, hypotension, and associated brain injury.

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