<s>[INST] Hello doctor, My 2-year-old threw a book on my 10-year-old, and the corner of the book hit the 10-year-old in the head. It felt like there was a small hole, but there was no pain. This happened four months before. Now it feels like an opening or cracks is going down my 10-year old's forehead. It is as if the impact created a break that extends down towards her left eye. There has been no pain. In the past two days, she has been complaining about a headache and nausea, and I am now worried. I can take her to a chiropractor only after two weeks. Please assist because I am afraid. Not sure what to do? Should I treat this as an emergency or wait for two weeks. [/INST] Hello. Yes, this needs proper care and investigation and should be treated in an emergency. It seems to be a head injury, as the symptoms are increasing and pain killer is not much relieving, there is no sense of having nasogastric medicine as such without CT scan. Hit or injury. CT scan. First, go for a CT scan. Start medication as soon as possible to prevent further damage. Lie down with little raised head. </s>