Authors: Adam L Brown, Karen Pinches / Editor: Jason M Kendall / Reviewer: Jon Bailey / Codes: OptP2, SLO4Published: 18/12/2021

A 31-year-old man presented to the emergency department (ED) after falling off a wall into a bush. He sustained head and facial injuries. He complained of a mild headache. There was no loss of consciousness, amnesia or neck pain.

On examination his Glasgow Coma Score was 15/15 and the remainder of his physiological observations were normal. He had a laceration to his right upper eyelid, with significant swelling of the lid making occular examination difficult. He had no evidence of base of skull fracture or of significant head injury. He had no focal limb neurology or extra-cranial injury.

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