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Child had head injury. Applied ice. Bump, large pupils. What causes the pupil dilation?

My 4 yo son hit the top rear of his head hard on the corner of a metal table nearly an hr ago. He cried for a minute, fought application of ice. He has large bump, pupils equal but quite large. Do contract in light. Otherwise happy an normal. Please advise. What causes the dilation, what concerns, howimmediate and what can/should be done?

Asked On : Tue, 9 Apr 2013
Answers:  2 Views:  81
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Pediatrician 's  Response
Thanks for your query.
After any head injury some warning signs are to be monitored for at least 24 hours like-lethargy/vomiting/any abnormal movement/any bleeding from ear or nose.
Continue with ice application over hematoma.
Give acetaminophen for pain relief.
In case any warning feature is observed take him to ER.

Wishing your child good health.
God bless..
Answered: Wed, 10 Apr 2013
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Pediatrician Dr. Y V Siva Sankara Murty's  Response

Thanks for writing to health care magic.

I think your kid needs to be examined by your doctor in the ER once. Please take him to the emergency.

After a head injury presence of the following also require a child to be taken to the emergency.

1. Vomiting.
2. Loss of consciousness.
3. Ear and nose bleeding.
4. Seizures.

Hope this helps.
Take care.
Answered: Wed, 10 Apr 2013
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