American family physician
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Head injuries are the most common cause of disability and death in children. Identification of children who require specialized management following a head injury will reduce the associated morbidity and mortality. Thus, it is important to differentiate the child who can be safely observed and who will recover spontaneously from the child who will develop a progressive neurologic deficit from a treatable cause. A thorough history, a tailored neurologic examination and limited radiographic studies will assist the family physician in making this determination.
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Fishhook injuries are fairly common in some geographic areas. Radiography assists in identifying the type of hook and determining its orientation. Two simple techniques can be employed to remove a fishhook safely and easily.