Traumatic brain injury physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of traumatic brain injury include | |||
*Penetrating object in the skull. | |||
*[[Neurological examination|Neurologic deficit]] | |||
**[[Motor coordination|Motor]] and sensory skills | |||
**[[Hearing]] and [[speech]] | |||
**[[Motor coordination|Coordination]] and [[Balance disorder|balance]] | |||
**[[Mental status examination|Mental status]] | |||
**[[Mood]] or [[behavior]] changes | |||
*Normal to abnormal [[Glasgow Coma Scale]] (GCS). | |||
==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> | |||
*Penetrating object in the skull. | |||
*[[Neurological examination|Neurologic deficit]] | |||
**[[Motor coordination|Motor]] and sensory skills | |||
**[[Hearing]] and [[speech]] | |||
**[[Motor coordination|Coordination]] and [[Balance disorder|balance]] | |||
**[[Mental status examination|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. | Head injured people with signs of moderate or severe TBI should receive immediate emergency [[medical]] attention. | ||
==References== | ==References== | ||
Revision as of 01:02, 1 September 2020
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Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Common physical examination findings of traumatic brain injury include
- Penetrating object in 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).
Physical Exams
Common physical examination findings of traumatic brain injury include[1]
- Penetrating object in 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.