Subdural hematoma physical examination

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 abnormal gait, evidence of intracranial hypertension (papilledema), 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.