Subdural hematoma physical examination: Difference between revisions
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==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]. | 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== | ||
Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3]. | 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 | *Patients with subdural hematoma usually appear normal. | ||
===Vital Signs=== | ===Vital Signs=== | ||
* | *Fever (in infected subdural hematoma) | ||
*High/low blood pressure with normal pulse pressure | |||
*High/low blood pressure with normal pulse pressure | |||
===Skin=== | ===Skin=== | ||
* Skin examination of patients with | * Skin examination of patients with subdural hematoma is usually normal. | ||
===HEENT=== | ===HEENT=== | ||
* HEENT examination of patients with [disease name] is usually normal. | * HEENT examination of patients with [disease name] is usually normal. | ||
| Line 92: | Line 49: | ||
===Lungs=== | ===Lungs=== | ||
* Pulmonary examination of patients with | * Pulmonary examination of patients with subdural hematoma is usually normal. | ||
===Heart=== | ===Heart=== | ||
* Cardiovascular examination of patients with | * Cardiovascular examination of patients with subdural hematoma is usually normal. | ||
===Abdomen=== | ===Abdomen=== | ||
* Abdominal examination of patients with | * Abdominal examination of patients with subdural hematoma is usually normal. | ||
===Back=== | ===Back=== | ||
* Back examination of patients with | * Back examination of patients with subdural hematoma is usually normal. | ||
===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with | * Genitourinary examination of patients with subdural hematoma is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with [disease name] is usually normal. | * Neuromuscular examination of patients with [disease name] is usually normal. | ||
| Line 167: | Line 80: | ||
===Extremities=== | ===Extremities=== | ||
* Extremities examination of patients with | * Extremities examination of patients with subdural hematoma is usually normal. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 14:16, 10 June 2019
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Subdural Hematoma Microchapters |
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Subdural hematoma physical examination On the Web |
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American Roentgen Ray Society Images of Subdural hematoma physical examination |
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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
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)
- High/low blood pressure with normal pulse pressure
Skin
- Skin examination of patients with subdural hematoma is usually normal.
HEENT
- HEENT examination of patients with [disease name] is usually normal.
OR
- Abnormalities of the head/hair may include ___
- Evidence of trauma
- Icteric sclera
- Nystagmus
- Extra-ocular movements may be abnormal
- Pupils non-reactive to light / non-reactive to accommodation / non-reactive to neither light nor accommodation
- Ophthalmoscopic exam may be abnormal with findings of ___
- Hearing acuity may be reduced
- Weber test may be abnormal (Note: A positive Weber test is considered a normal finding / A negative Weber test is considered an abnormal finding. To avoid confusion, you may write "abnormal Weber test".)
- Rinne test may be positive (Note: A positive Rinne test is considered a normal finding / A negative Rinne test is considered an abnormal finding. To avoid confusion, you may write "abnormal Rinne test".)
- Exudate from the ear canal
- Tenderness upon palpation of the ear pinnae/tragus (anterior to ear canal)
- Inflamed nares / congested nares
- Purulent exudate from the nares
- Facial tenderness
- Erythematous throat with/without tonsillar swelling, exudates, and/or petechiae
Neck
- Neck examination of patients with [disease name] 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
- 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
- Neuromuscular examination of patients with [disease name] is usually normal.
OR
- Patient is usually oriented to persons, place, and time
- Altered mental status
- Glasgow coma scale is ___ / 15
- Clonus may be present
- Hyperreflexia / hyporeflexia / areflexia
- Positive (abnormal) Babinski / plantar reflex unilaterally/bilaterally
- Muscle rigidity
- Proximal/distal muscle weakness unilaterally/bilaterally
- ____ (finding) suggestive of cranial nerve ___ (roman numerical) deficit (e.g. Dilated pupils suggestive of CN III deficit)
- Unilateral/bilateral upper/lower extremity weakness
- 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 examination of patients with subdural hematoma is usually normal.