Traumatic Brain Injury secondary to Concussion is an important consideration. Determining if it was a secondary collision of the brain with the skull or a primary collision of the head with another object can only be discerned by evidence of bruising. With a primary collision, there would be bruising on the outside of the body. This patient has no bruising. This patient was also considered to have Temporomandibular Joint Disease secondary to MVC and an acceleration/deceleration impact injury to the cervical spine with a lateral vector. Thoracic spine and rib sprains with muscle spasms and inflammation were also diagnoses.

Question: What advanced diagnostic tests would you order if any at this point?