Traumatic brain injury physical examination: Difference between revisions
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==Physical Exams== | ==Physical Exams== | ||
Common physical examination findings of traumatic brain injury include<ref name="pmid29083790">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=29083790 | doi= | pmc= | url= }} </ref> | Common physical examination findings of traumatic brain injury include<ref name="pmid29083790">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=29083790 | doi= | pmc= | url= }} </ref> | ||
* | *Signs of physical trauma to the skull. | ||
*[[Neurological examination|Neurologic deficit]] | *[[Neurological examination|Neurologic deficit]] | ||
**[[Motor coordination|Motor]] and sensory skills | **[[Motor coordination|Motor]] and sensory skills | ||
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{{#ev:youtube|FihnmEx6Rqk}} | {{#ev:youtube|FihnmEx6Rqk}} | ||
Head injured people with signs of moderate or severe TBI should receive immediate emergency [[medical]] attention. | Head injured people with signs of moderate or severe TBI should receive immediate emergency [[medical]] attention. | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 01:03, 1 September 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Joanna Ekabua, M.D. [2]
Overview
Common physical examination findings of traumatic brain injury include
- Neurologic deficit
- Motor and sensory skills
- Hearing and speech
- Coordination and balance
- Mental status
- Mood or behavior changes
- Normal to abnormal Glasgow Coma Scale (GCS).
Physical Exams
Common physical examination findings of traumatic brain injury include[1]
- Signs of physical trauma to the skull.
- Neurologic deficit
- Motor and sensory skills
- Hearing and speech
- Coordination and balance
- Mental status
- Mood or behavior changes
- Normal to abnormal Glasgow Coma Scale (GCS). GCS is considered to be the best single predictor of good or bad outcome following penetrating head injury. Survival rate is 0-8.1%, 35.6% and 90.5% for GCS scores of 3-5, 6-8 and 9-15 respectively
- GCS 8-15 and somnolence: Sleepy, easy to wake
- GCS 8-15 and stupor: Hypnoid, hard to wake
- GCS ≥ 13: Mild Head Injury
- GCS 9–12: Moderate Head Injury
- GCS ≤ 8: Severe Head Injury
- GCS 7-8: Light coma; Coma Grade I
- GCS 5-6: Light coma; Coma Grade II
- GCS 4: Deep coma; Coma Grade III
- GCS 3: Deep coma; Coma Grade IV
{{#ev:youtube|FihnmEx6Rqk}} Head injured people with signs of moderate or severe TBI should receive immediate emergency medical attention.