Head trauma managementDownloads

A 15-year-old boy is brought to the emergency department one hour after sustaining an injury during football practice. He collided head-on into another player while wearing a mouthguard and helmet. Immediately after the collision he was confused but able to use appropriate words. He opened his eyes spontaneously and followed commands. There was no loss of consciousness. He also had a headache with dizziness and nausea. He is no longer confused upon arrival. He feels well. Vital signs are within normal limits. He is fully alert and oriented. His speech is organized and he is able to perform tasks demonstrating full attention, memory, and balance. Neurological examination shows no abnormalities. There is mild tenderness to palpation over the crown of his head but no signs of skin break or fracture. Which of the following is the most appropriate next step?

A 22-year-old woman comes to the emergency department because of frontal throbbing headaches for 3 weeks. Yesterday, the patient had blurry vision in both eyes and a brief episode of double vision. She has been taking ibuprofen with only mild improvement of her symptoms. She has polycystic ovarian syndrome, type 2 diabetes mellitus, and facial acne. She has not had any trauma, weakness, or changes in sensation. Her current medications include metformin and vitamin A. She is 158 cm (5 ft 2 in) tall and weighs 89 kg (196 lbs); BMI is 36 kg/m2. Vital signs are within normal limits. Examination shows decreased peripheral vision. Fundoscopic examination of both eyes is shown. MRI of the brain shows an empty sella. Which of the following is the most appropriate next step in management?