3YOM PRESENTS ABOUT 40 MINUTES AFTER A FALL DOWN ABOUT 10 STEPS. MOM REPORTS IT WAS PT'S BEDTIME AND HE WAS GIVEN MELATONIN PRIOR TO THE FALL. MOM STATES PT HAS BEEN WHINING MORE SINCE. SHE HEARD THE FALL BUT DIDN'T HEAR PT CRY AND IS UNSURE IF "HE WAS OUT OF IT." ON EXAM, PT W/ A CEPHALOHEMATOMA TO RIGHT POSTERIOR PARIETAL SCALP. DX: MINOR HEAD INJURY.
Date: 1/4/2025
Category: home structures and construction materials
Product: STAIRS OR STEPS
Products involved: STAIRS OR STEPS; UNCATEGORIZED PRODUCT (TO BE ASSIGNED)
Diagnosis: Internal Organ Injury
Body part: Head
Location: Home