A 21-Year-Old Man Sustained a Fall, Hitting the Left Side

A 21-year-old man sustained a fall, hitting the left side of his head on a rock.  He did not lose consciousness, but during the next 30 minutes, he developed a headache and vomited twice.  The patient has no chronic medical conditions and takes no medication.  Blood pressure is 136/90 mm Hg and pulse is 68/min.  On examination, he is drowsy but otherwise well oriented.  Swelling and tenderness are noted over the left frontoparietal region.  CT scan of the head will most likely reveal which of the following?

A) Diffuse axonal injury
B) Epidural hematoma
C) Intracerebral hemorrhage
D) Subarachnoid hemorrhage
E) Subdural hematoma

Correct Answer:

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