Subdural hematoma physical examination

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

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].

Physical Examination

Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

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 (describe tremor, e.g. at rest, pill-rolling)
• Normal finger-to-nose test / Dysmetria
• Absent/present dysdiadochokinesia (palm tapping test)

Extremities

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