Question
Basic Information: A 19-month-old girl fell from a height, with a hard bump appearing on the top of her head. The bump got larger after crying. What could be the issue?
Answer
Considering it might be a regional injury, there are unlikely to be other problems. If intracranial pressure increases, it can easily cause nausea, vomiting, and headaches. It is suggested to press on the head with the palm when falling again to prevent bruising and swelling. Subsequently, go to the hospital for a CT scan, which shows a soft tissue abrasion and hematoma formation on the right frontal scalp. It is recommended to apply cold compresses within 48 hours, and then switch to hot compresses after 48 hours. Scalp hematoma is a common condition; when the baby cries, the bump tends to get larger. This is considered a head hematoma, as the scalp has abundant blood vessels and is prone to hematoma formation. Generally, it will increase again within 4 hours after returning to normal, which is a normal phenomenon.