Rapid Review: Subdural Hematoma

July 13, 2017
Subdural hematoma

Subdural Hematoma

  • Patient will be elderly or alcoholic
  • With a history of a fall or traumatic head injury
  • Complaining of headache, mental status changes, seizures, or focal deficits
  • Diagnosis is made by non-contrast CT, crescent-shaped hematoma
  • Most commonly caused by rupture of the bridging veins
  • Treatment is neurosurgical consultation

Sample question: A 68-year-old man presents to the ED after a fall down 12 stairs. On physical exam, you note a large parietal scalp hematoma. His noncontrast computed tomography scan of the head shows a crescent-shaped hematoma. Which of the following is the most likely diagnosis?

By Yehuda Wolf, MPA, PA-C

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