Subdural hematoma physical examination: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
No edit summary
 
(4 intermediate revisions by the same user not shown)
Line 4: Line 4:


==Overview==
==Overview==
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
Common physical examination findings of subdural hematoma include decreased level of consciousness, mental status abnormalities, abnormal gait, evidence of intracranial hypertension (papilledema), hemiparesis, and Parkinson like symptoms.


==Physical Examination==
==Physical Examination==
Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
===Appearance of the Patient===
===Appearance of the Patient===
*Patients with subdural hematoma usually appear normal.  
*Patients with subdural hematoma usually appear normal.  
Line 21: Line 19:
===HEENT===
===HEENT===
* Abnormalities of the head including evidence of head trauma
* Abnormalities of the head including evidence of head trauma
* Evidence of trauma
* Extra-ocular movements are normal
* Extra-ocular movements are normal
*Pupils reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation
*Pupils reactive to light and commodation
*Ophthalmoscopic exam may be abnormal with findings of ___
*Ophthalmoscopic exam may be abnormal with findings of papilledema (in case of intracranial hypertension)


===Neck===
===Neck===
* Neck examination of patients with [disease name] is usually normal
* Neck examination of patients with subdural hematoma is usually normal
OR
*[[Jugular venous distension]]
*[[Carotid bruits]] may be auscultated unilaterally/bilaterally using the bell/diaphragm of the otoscope
*[[Lymphadenopathy]] (describe location, size, tenderness, mobility, and symmetry)
*[[Thyromegaly]] / thyroid nodules
*[[Hepatojugular reflux]]
 
===Lungs===
===Lungs===
* Pulmonary examination of patients with subdural hematoma is usually normal.
* Pulmonary examination of patients with subdural hematoma is usually normal.
Line 46: Line 36:
* Genitourinary examination of patients with subdural hematoma is usually normal.
* Genitourinary examination of patients with subdural hematoma is usually normal.
===Neuromuscular===
===Neuromuscular===
* Neuromuscular examination of patients with [disease name] is usually normal.
OR
*Patient is usually oriented to persons, place, and time
*Patient is usually oriented to persons, place, and time
* Altered mental status
* Altered mental status may be present in acute SDH
* Glasgow coma scale is ___ / 15
* Glasgow coma scale may be abnormal in acute SDH
* Clonus may be present
*Abnormal gait may be present
* Hyperreflexia / hyporeflexia / areflexia
*Negative Trendelenburg sign
* Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
*Unilateral/bilateral tremor may be present in chronic SDH mimicking Parkinson disease
* Muscle rigidity
*Bradykinesia may be present in chronic SDH mimicking Parkinson disease
* Proximal/distal muscle weakness unilaterally/bilaterally
*Absent dysdiadochokinesia (palm tapping test)
* ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
* Unilateral/bilateral upper/lower extremity weakness may be present in chronic SDH
*Unilateral/bilateral upper/lower extremity weakness
* Unilateral/bilateral sensory loss in the upper/lower extremity may be present in chronic SDH
*Unilateral/bilateral sensory loss in the upper/lower extremity
*Positive straight leg raise test
*Abnormal gait (describe gait: e.g. ataxic (cerebellar) gait / steppage gait / waddling gait / choeiform gait / Parkinsonian gait / sensory gait)
*Positive/negative Trendelenburg sign
*Unilateral/bilateral tremor (describe tremor, e.g. at rest, pill-rolling)
*Normal finger-to-nose test / Dysmetria
*Absent/present dysdiadochokinesia (palm tapping test)


===Extremities===
===Extremities===

Latest revision as of 15:18, 10 June 2019

Subdural Hematoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Subdural Hematoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Subdural hematoma physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Subdural hematoma physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Subdural hematoma physical examination

CDC on Subdural hematoma physical examination

Subdural hematoma physical examination in the news

Blogs on Subdural hematoma physical examination

Directions to Hospitals Treating Subdural hematoma

Risk calculators and risk factors for Subdural hematoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Common physical examination findings of subdural hematoma include decreased level of consciousness, mental status abnormalities, abnormal gait, evidence of intracranial hypertension (papilledema), hemiparesis, and Parkinson like symptoms.

Physical Examination

Appearance of the Patient

  • Patients with subdural hematoma usually appear normal.

Vital Signs

  • Fever (in infected subdural hematoma)
  • Vital signs in patients with subdural hematoma is usually normal.

Skin

  • Skin examination of patients with subdural hematoma is usually normal.

HEENT

  • Abnormalities of the head including evidence of head trauma
  • Extra-ocular movements are normal
  • Pupils reactive to light and commodation
  • Ophthalmoscopic exam may be abnormal with findings of papilledema (in case of intracranial hypertension)

Neck

  • Neck examination of patients with subdural hematoma is usually normal

Lungs

  • Pulmonary examination of patients with subdural hematoma is usually normal.

Heart

  • Cardiovascular examination of patients with subdural hematoma is usually normal.

Abdomen

  • Abdominal examination of patients with subdural hematoma is usually normal.

Back

  • Back examination of patients with subdural hematoma is usually normal.

Genitourinary

  • Genitourinary examination of patients with subdural hematoma is usually normal.

Neuromuscular

  • Patient is usually oriented to persons, place, and time
  • Altered mental status may be present in acute SDH
  • Glasgow coma scale may be abnormal in acute SDH
  • Abnormal gait may be present
  • Negative Trendelenburg sign
  • Unilateral/bilateral tremor may be present in chronic SDH mimicking Parkinson disease
  • Bradykinesia may be present in chronic SDH mimicking Parkinson disease
  • Absent dysdiadochokinesia (palm tapping test)
  • Unilateral/bilateral upper/lower extremity weakness may be present in chronic SDH
  • Unilateral/bilateral sensory loss in the upper/lower extremity may be present in chronic SDH

Extremities

  • Extremities examination of patients with subdural hematoma is usually normal.

References

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Subdural_hematoma_physical_examination&oldid=1571404"