A member asked:

Knocked into stone column then fell to ground. caused laceration on back of head, 3 staples. is an x-ray sufficient to rule out internal bleeding?

5 doctors weighed in across 3 answers

Not for that...: I don't think the intention of the xray was to look at internal bleeding since this cannot be looked at this way. The xray can show skull fracture or some inflammation but cannot show the brain itself or any injuries to it. You would need a CT scan or MRI for that. Maybe a neck xray was also done to make sure you didn't have spine fractures. I would ask the provider who ordered the test about this

Answered 7/29/2014

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Dr. Marc Goldhagen answered

Specializes in Occupational Medicine

No: History and physical exam can identify subtle changes consistent with intracranial bleed. If trauma severe enough than CT scan of head is done to rule out bleed. Sometime you are released without CT for observation.

Answered 7/29/2014

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No: X-rays only show the bones. If you did not lose consciousness and your neurological exam was normal then a CT scan is not necessarily needed. If you develop worse headaches, vomiting, dizziness or numbness then go back to the ER

Answered 10/23/2017

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