A 3yo child has been brought with facial lacerations. On examination he has some cuts over his
right cheek and under the eye. The GCS on initial evaluation is 15. What is the appropriate next
a. Skull XR
b. Facial XR
c. CT scan
Ans. The key is B. Facial X-ray. [Normal GCS makes intracranial lesion less likely. As there is facial injury to exclude any facial bone fracture we can do facial X-ray].