Child get unconscious after falling down.

Chief complaint 4 y/o male child went pale, unconscious and rigid after falling from bicycle. History A 4 y/o male child fell from his bicycle and injured his right arm. He started to cry immediately, he was able to stand but then went pale then unconscious and rigid. He recovered from this episode after 2-3 minutes. He had a similar episode twice before, once 6 months back and once 2 months back after falling at home. He was pale initially but after an hour he was normal. Diagnosis What should be the next investigation keeping the history in mind?

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*Epilepsy ** Post traumatic vaso vagal Shock Needs further investigation and evaluation by neurosurgeon to conclude and treatment plan as per conclusion. Common steps of seizure and suffocated pt should be carried out . Medicine after conclusion.

Look for vasovagal shock Or For Epilepsy Do CT scan and MRI

Pain induced vaso vagal attack DD Seizure Observation . If episodes continue, EEG and MRI can be considered

ADVISABLE... RULE. OUT.... SUBDURAL HAEMATOMA DD NEUROCYSTICERCOSIS TUBERCULOMA... NEEDS C. T. SCAN

It could be post traumatic epidural hematoma, which may or may not be stable, as there are 3 episodes of similar events. Presence of lucid interval may indicate a high chance of the same... So get an early NCCT Head. And then go for a neurosurgical intervention, if required.

CT head requires on urgent basis because as per history it may be neurocysticercosis or TBM.

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