Suggest treatment for soft lump on back of head in an infant
Patient: Hi my ten montb daughter was un settled and layin next to me in my bed, she fell asleep soo i just went to turn off the light when she rolled and she fell offthe bed but hit the corner or my bedside table she cries for a long time but fell back asleep after cuddles, i notice she has a soft lump at the back off her her head and now im worried she is fast asleep but if i try to move her she does respond do i need to take her to the emergency room or see how she is inthe mornjng Doctor: HI...nothing to worry about. The soft lump you are noticing is a boggy swelling due to localised oedema in the hit area. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behaviour. If none of them are present, I don't think you should worry about his trivial head injury. For pain you can give oral Paracetamol in the dose of 15mg/kg/dose(max ceiling dose 500mg)  every 4-6th hourly.  Regards - Dr. Sumanth