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A 46-Year-Old Man Was Seen in the Emergency Department After

Question 3

Multiple Choice

A 46-year-old man was seen in the emergency department after being knocked down in a street brawl. He had received a blow on the head with an empty bottle. On examination, the patient was conscious and had a large dough-like swelling over the back of the head that was restricted to the area over the occipital bone. The skin was intact, and the swelling fluctuated on palpation.
-The following statements concerning this patient are correct except which?


A) The hematoma, although large, did not extend forward to the orbital margins and did not extend laterally as far as the temporal lines.
B) The hematoma was located just beneath the scalp and was superficial to the periosteum of the occipital bone.
C) The swelling did not occupy the subcutaneous tissue of the scalp.
D) The hematoma was restricted to one skull bone and was situated beneath the periosteum.

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