second guessing myself -- help!

[adhrn711]

I am actually a school nurse, hoping someone can answer a question for me. I had a kid in today who hit his head on a concrete floor. When he came in, he was in a lot of pain and said he was dizzy. There was very little edema where his head hit. Here's the wierd part -- pupils at first were PERLA, checked a few minutes later and the right one was sluggish. While waiting for dad to pick him up and take to the ER, checked again and they were normal. Is that possible? Did I imagine the sluggish response? Would it indicate fluctuating pressure? The other thing that struck me as odd was that he pointed to a different area of his head from where the bump occurred when I asked him where it hurt. He also denied any improvement in the dizziness. Any input would really be appreciated. Sorry for the long post!

[LLLLiiiFFEsaveer]

This may be the strangest post of seen on here...can you fill us in to what the heck you are talking about...now I'm curious?

Sure, let me explain...

First off though, I promise not to drink and post again. Alcohol and I really do not mix well. From lessons learned previously, I am just going to stick to my original plan and stay away from the stuff completely. Enough said?

About my strange post:

Another member had mentioned how some places are getting away from sending everyone to ct, and concentrating more on clinical judgement. That made me think about a conversation some of us were having at work once about some of our regular patrons, and how much radiation exposure some of them have seen due to repeated ct scans. One particular case came to mind. Thats all.

I think I had just worked with one of our ct-holic docs too, and the issue was on my mind...

To the OP, I hope everything turned out OK for this kiddo?

Thanks