Article Text

Download PDFPDF
A bump on the head…
  1. James Ting Fei Lai1,2,
  2. Shabana Issa1
  1. 1 Emergency Department, Royal London Hospital, London, UK
  2. 2 Blizard Institute, Queen Mary University of London, London, UK
  1. Correspondence to Dr James Ting Fei Lai, Emergency Department, Royal London Hospital, London E1 1FR, UK; james.lai{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Clinical introduction

A 16-year-old boy presented to the ED with a 2-week history of progressive forehead and eyelid swelling. He reported hitting his head against the wall 2 weeks earlier while asleep in bed and presented to the ED on two earlier occasions. On examination, there was extensive bilateral frontal and periorbital swelling which was exquisitely tender to touch (figure 1). The child was otherwise well with no medical history. His observations were as follows: heart rate 96, respiratory rate 18, Sats 97% on …

View Full Text


  • Handling editor Ellen J Weber

  • Contributors JTFL was involved in the clinical management of the patient, obtained consent and wrote the manuscript. SI provided supervision and reviewed the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.