Author: Rachel Edwards / Editor: Sarah Edwards / Reviewer: Rachel Edwards / Codes: MaP2, SLO5 / Published: 21/06/2021 / Reviewed: 31/08/2024
A 9-year-old girl is brought to the Emergency Department (ED) by her father who is concerned about a persistent swelling on her forehead following a seemingly minor head injury.
Two weeks prior the patient had been struck on the forehead by another child’s elbow in the playground. As there was no loss of consciousness, and the girl had immediately resumed normal activities, no medical attention was sought at the time. The patient developed a small egg shaped swelling at the site of injury which was noticed by her father when she returned home from school and which had slowly increased in size over the following two weeks. The patient had remained well up until 48 hours prior to presenting to ED, when she had started complaining of a left sided headache and had spiked a temperature of 38.2 on one occasion.
The patient has no past medical history of note, was born at term with no complications, is up-to-date with immunisations and has no history of recent foreign travel.
On examination, there is a 4x4cm boggy swelling in the centre of her forehead which is mildly tender on palpation and without any erythema of the skin overlying. Her observations are within normal limits, GCS 15/15, no evidence of meningism and no abnormalities detected on cranial nerve examination.
24 responses
Excellent case review
Potts puffy Tumour.. Excellent case
Good case
Potts puffy tumor !
Excellent
Amazing case
Good clinical case. Pott’s puffy tumor – an important differentials in late presentations post minor trauma.
good case
Thank you – nice imaging quality and case presentation
Superb
P-eaditric presentations can go U-nrecognised if such F-ine F-acts are missed in the Y-oung
great learning
good case
rare and interesting case
Learned something new with this clinical case. Doubled with good explanation. But seemingly in the question the child sounded to be well interestingly.
excellent
good case thanks
Great case
intersting case
USEFUL MODULE
very interesting case
Interesting with great information
Good to know.
Nice case
Interesting case.