ABSTRACT

An 18-year-old man was admitted following a brawl. He reports that he was kicked in the head, and now has difficulty opening his mouth. He has also vomited twice, and says that he blacked out during the assault.

How will you protect his cervical spine until it is cleared? (3 marks)

List the five aspects of a neurological examination. (5 marks)

Give three indications for CT head following head trauma. (3 marks)

On examination, he has tenderness over the right mandible. What further imaging would you like to arrange? (1 mark)

This reveals a non-displaced fracture of the right mandible. What else should you look for in relation to this? (1 mark)