Hematomas

Question 2

SUBDURAL HEMATOMA

What is the “classic” presentation?

The pt will recover some LOA but not all - due to contusion

Answer 2

Patients c/o headache

N & V

Sensorium changes

Other neurological changes

Focal presentation

Seizures

Signs of increased ICP

Question 3

SUBDURAL HEMATOMA

What would the pt hx be?

How does it work?

What’s the cause?

Answer 3

loss of consciousness
There is gradual deterioration with focal manifestations & presentation of rising ICP

a collection of blood bewteen the dura mater & arachnoid mater in brain

vascular tears - contusions - usually due to trivial/forgotten trauma

Rupture of small cortical arteries and veins

Question 4

Epidural Vs Subdural

Visual of the 2

Answer 4

Question 5

SUBDURAL HEMATOMA

What are the signs of increased ICP?

What are the 3 different types (time difference)?

Answer 5

Loss of consciousness without lucid period & gradual deterioration

May develop in

LESS then 24 hours (acute)

2 to 14 days (sub-acute)

2 weeks to months (chronic), before the
patient becomes symptomatic