Concussion physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Diagnosis of MTBI is based on physical and neurological exams, duration of unconsciousness (usually less than 30 minutes) and post-traumatic amnesia (PTA; usually less than 24 hours), and the Glasgow Coma Scale (MTBI sufferers have scores of 13 to 15). | Diagnosis of MTBI is based on physical and neurological exams, duration of unconsciousness (usually less than 30 minutes) and post-traumatic amnesia (PTA; usually less than 24 hours), and the Glasgow Coma Scale (MTBI sufferers have scores of 13 to 15). [[Neuropsychological test]]s exist to measure cognitive function. The tests may be administered hours, days, or weeks after the injury, or at different times to determine whether there is a trend in the patient's condition. | ||
==Physical Examination== | ==Physical Examination== | ||
Athletes may be tested before a sports season begins to provide a baseline comparison in the event of an injury.<ref name="pmid10981754"> | [[Image:Anizokoria.JPG|left|thumb|230px|Unequal pupil size is a sign of a brain injury more serious than concussion.]] | ||
{{ | Athletes may be tested before a sports season begins to provide a baseline comparison in the event of an injury.<ref name="pmid10981754">{{cite journal| author=Maroon JC, Lovell MR, Norwig J, Podell K, Powell JW, Hartl R| title=Cerebral concussion in athletes: evaluation and neuropsychological testing. | journal=Neurosurgery | year= 2000 | volume= 47 | issue= 3 | pages= 659-69; discussion 669-72 | pmid=10981754 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10981754 }} </ref> Health care providers examine head trauma survivors to ensure that the injury is not a more severe [[medical emergency]] such as an intracranial hemorrhage. Indications that screening for more serious injury is needed include worsening of symptoms such as headache, persistent vomiting, increasing disorientation or a deteriorating level of consciousness, [[post-traumatic seizure|seizure]]s, and [[anisocoria|unequal pupil size]]. | ||
cite journal |author=Maroon JC, Lovell MR, Norwig J, Podell K, Powell JW, Hartl R |title=Cerebral concussion in athletes: | |||
}} | |||
</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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{{WH}} | |||
[[Category:Neurotrauma]] | [[Category:Neurotrauma]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
Latest revision as of 21:03, 29 July 2020
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Risk calculators and risk factors for Concussion physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Diagnosis of MTBI is based on physical and neurological exams, duration of unconsciousness (usually less than 30 minutes) and post-traumatic amnesia (PTA; usually less than 24 hours), and the Glasgow Coma Scale (MTBI sufferers have scores of 13 to 15). Neuropsychological tests exist to measure cognitive function. The tests may be administered hours, days, or weeks after the injury, or at different times to determine whether there is a trend in the patient's condition.
Physical Examination
Athletes may be tested before a sports season begins to provide a baseline comparison in the event of an injury.[1] Health care providers examine head trauma survivors to ensure that the injury is not a more severe medical emergency such as an intracranial hemorrhage. Indications that screening for more serious injury is needed include worsening of symptoms such as headache, persistent vomiting, increasing disorientation or a deteriorating level of consciousness, seizures, and unequal pupil size.
References
- ↑ Maroon JC, Lovell MR, Norwig J, Podell K, Powell JW, Hartl R (2000). "Cerebral concussion in athletes: evaluation and neuropsychological testing". Neurosurgery. 47 (3): 659–69, discussion 669-72. PMID 10981754.