Topic 5 - Hematoma

Question 1

The 2 most common traumatic bleed types are ________ and ________ hematomas.

Answer 1

Epidural
Subdural

Question 2

RMTs should be focused on the _____ of signs and symptoms, and awareness of what makes someone more ____ ____ for hematomas.

Answer 2

Onset
High Risk

Question 3

Bleeding into the space between the dura mater and the brain itself that crosses the suture line.

Answer 3

Subdural Hematoma

Question 4

Bleeding into the space between the dura mater and the skull that does not cross the suture line.

Answer 4

Epidural Hematoma

Question 5

A higher pressure arterial bleed, often from one of the meningeal artery branches, caused by a skull fracture or other traumatic impact.

Answer 5

Epidural Hematoma

Question 6

With an ________ hematoma, the blood forces its way between the internal skull bone periosteum and the dura mater, snapping the _________ fibres and disrupting the structural support that holds it to the skull.

Answer 6

Epidural
Sharpey’s

Question 7

As an epidural hematoma progresses, the brain tissue _________ as blood rushes into the enlarging space.

Answer 7

Collapses

Question 8

T/F - Brain damage can never result from an epidural hematoma.

Answer 8

False - Brain damage CAN result from an epidural hematoma.

Question 9

There is a window of time in which medical treatment can be successful in evacuating the _____ from an epidural hematoma, along with ___________ flow and tissue damage.

Answer 9

Blood
Controlling

Question 10

T/F - Epidural hematomas are likely to be fatal once the opportunity window is lost.

Answer 10

True

Question 11

Signs and symptoms of an epidural hematoma onset within a few hour to __ days from the impact.

Answer 11

3 days

Question 12

Bleeding from an ________ hematoma may start right away or the injured vessel may take a bit of time to “blow.”

Answer 12

Epidural

Question 13

An onset symptom of an epidural hematoma is a very intense “_______” headache accompanied by nausea/vomiting, like the ___________ stroke headache.

Answer 13

“Unusual”
Hemorrhagic

Question 14

With an epidural hematoma, there may be onset of ____________ signs that correspond to the _____ tissue being compressed, with new ones being added as the bleeding extends.

Answer 14

Neurological
Brain

Question 15

T/F - With epidural hematoma, there are no onset signs and symptoms of shock.

Answer 15

False - With epidural hematoma, there ARE onset signs and symptoms of shock.

Question 16

With an epidural hematoma, there may be altered _____________, and the person eventually slips into ____.

Answer 16

Consciousness
Coma

Question 17

People are ________ regularly after a concussion injury to check for signs of an epidural hematoma.

Answer 17

Awakened

Question 18

A slower, low pressure bleed, typically venous or microvascular.

Answer 18

Subdural Hematoma

Question 19

With a ________ hematoma, the blood accumulates in the space between the dura mater and the brain, sometimes staying above the _________ mater, sometimes seeping below.

Answer 19

Subdural
Arachnoid

Question 20

With ________ hematomas, it can take sometime before enough blood accumulates to pressurize the brain.

Answer 20

Subdural

Question 21

T/F - It can be days or weeks before subdural hematoma signs and symptoms appear.

Answer 21

True

Question 22

In some cases of ________ hematoma, signs and symptoms onset when a subsequent event occurs that ____________ a previously weakened vessel.

Answer 22

Subdural
Destabilizes

Question 23

With a subdural hematoma, the brain tissue does not ________ structurally in the epidural hematoma manner, but ________ from sufficient accumulating blood can cause damage.

Answer 23

Collapse
Pressure

Question 24

The most common first onset sign of a subdural hematoma is ________. Also, ________ are very common.

Answer 24

Dystaxia
Seizures

Question 25

T/F - There are no neurological signs indicating the onset of a subdural hematoma.

Answer 25

False - There are VARIOUS neurological signs REFLECTING AFFECTED TISSUE THAT INDICATE the onset of a subdural hematoma.

Question 26

Someone with a ________ hematoma may develop confusion or experience altered consciousness.

Answer 26

Subdural

Question 27

T/F - Subdural hematomas have the potential to be fatal, but there is more time and opportunity for successful medical treatment.

Answer 27

True

Question 28

T/F - There is no risk of permanent damage and/or seizure disorder from subdural hematomas.

Answer 28

False - There IS risk of permanent damage and/or seizure disorder from subdural hematomas.

Question 29

Because of the protracted time period that can elapse between impact and onset of signs and symptoms, the massage therapist may well be massaging someone with a developing ________ hematoma.

Answer 29

Subdural

Question 30

The following categories of individuals are at a higher risk for ________ due to history of multiple head impacts and/or “________” mechanisms:
- Professional drivers (e.g. taxi, courier)
- Contact sport athletes
- Frequent fallers (e.g. seniors, young children, people with epilepsy/diabetes/multiple sclerosis/parkinsonism, horseback riders/jockeys, skiers, gymnasts, alcoholics/addicts)
- Construction workers
- Care workers for aggressive patients
- Battered, bullied or abused individuals

Answer 30

Hematoma
“Whiplash”