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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Head Injury, Fluid-filled Lump, Rough. No Pain

My elbow hit my daughters head a week and two days ago the swelling has gone down and she didn t display symptoms of a concussion (called to book an appointment and spoke to a triage nurse) but now am worried as I can feel the bump but also that the lump surrounding it is fluidy and can feel the skull and it feels rough and not smooth as it is on the otherside, its not painful to her I can press the fluid bit right to the skull and she doesn t show any signs of pain I guess am just worried about the fluidy bit...
Mon, 31 Dec 2012
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General & Family Physician,  's  Response
thank you.probably a hematoma was formed.now it is gradually decreasing.the fluidy bit is due to surrounding residual edema.no fever,no pain,so why are you worried.it will disappear in course of time.
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Psychiatrist,  Dr. Jonas Sundarakumar's  Response

Hello and welcome to Healthcare Magic. Thanks for your query.

From the description of your daughter's symptoms it appears that she may have developed a hematoma (a localized collection of clotted blood) due to the injury. Usually, after a few days, the clotted blood in the hematoma will start getting liquefied and gradually re-absorbed. This must be the reason why you are feeling a fluidy consistency after a few days. Don't worry about this, as in the next few days, the blood will get reabsorbed and the swelling will gradually disappear. Secondly, normally, there will be some irregularities in the surface of the skull. This is what you must be feeling as tghe rough surfaces on palpation. This again, is nothing to worry about.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
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Head Injury, Fluid-filled Lump, Rough. No Pain

thank you.probably a hematoma was formed.now it is gradually decreasing.the fluidy bit is due to surrounding residual edema.no fever,no pain,so why are you worried.it will disappear in course of time.