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3.closed head injury is a type of traumatic brain injury where the skull and dura matter are intact.it seems to be a leading cause of death of children.closed head injury patients are often seeems tobe asymptomatic beacause the brain swelling occurs very slowly.clinical symptoms are such as nausea,dizziness,headache,loss of appetite etc.if these above symptoms became worsen then it indicates detoriation in client's condition.severe closed injury often results in unconciousness or coma.when a nurse is caring for a child with closed head injury she should observe the clinical symptoms very carefully.

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