Doctor's Notes on Hematoma
A hematoma is a collection of blood outside of a blood vessel. Hematomas can occur anywhere in the body and are often described by their location, such as subdural hematoma, epidural hematoma, intra-abdominal hematoma, or hepatic hematoma. Hematomas can be caused by bleeding due to any cause including trauma or injury, defects in blood vessels, or problems with blood clotting.
Symptoms and signs of hematomas may include a bluish discoloration of the skin or lump beneath the skin. When the hematoma is present inside the skull cavity, associated symptoms and signs can include headache, confusion, seizures, loss of bladder or bowel control, or other neurologic symptoms. Signs and symptoms of a hematoma are very specific to the exact location within the body.
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Blood Clots
Blood is supposed to clot to help repair a blood vessel that is injured. Clots or thrombi become a problem when they form inappropriately. There are a variety of illnesses and risk factors that can lead to blood clot formation such as atrial fibrillation, heart attack, strokes, transient ischemic attacks (TIAs), pulmonary embolism, deep vein thrombosis (DVT), and more. Diagnosis and treatment of blood clots depends on the cause and severity of the clot. -
Broken Nose: Symptoms, Pictures, Surgery, and Healing Time
A broken nose (nasal fracture) is any crack or fracture in the bony portion of the nose. Causes of a broken nose include fights, sports injuries, motor vehicle accidents, and falls. Symptoms of a broken nose include tenderness when touching the nose, bruised nose, black eye, nosebleed, and difficulty breathing through the nostrils. Treatment for a broken nose depends on the severity of the fracture. -
Broken Toe
Broken toes are a common injury. Signs and symptoms of a broken toe may include pain, swelling, stiffness, bruising, deformity, and subungual hematoma. Treatment depends upon the severity of the fracture. There are home remedies to help ease pain and swelling of a broken toe. Medical treatment for a broken toe includes pain medication, buddy taping, casting, or booting. -
Concussion
Concussion (an injury to the brain) can be cause by significant blunt force trauma to the head, for example, falls, car accidents, being struck in the head. Treatment of concussion depends upon the severity of the injury. Concussions can be prevented by wearing protective gear when participating in sports, and taking care that homes are free from clutter and debris that can be easily tripped over. -
DVT (Deep Vein Thrombosis Blood Clot in the Leg)
Deep vein thrombosis (blood clot in the leg, DVT) is a blood clot imbedded in one of the major veins of the lower body, including the legs, thighs, or pelvis. Disease and conditions that put you at risk of DVT are many, and include heart disease, heart attack, heart failure, pregnancy, estrogen therapy, prolonged periods of immobility, for example, sitting while traveling or confined to bed, trauma, being overweight, cancer, respiratory conditions, and advanced age. Symptoms of DVT include redness and warmth to the touch, leg swelling, pain or tenderness in the leg, redness or discoloration of the skin on the leg, leg cramps, edema, and pain. Treatment for a blood clot in the leg include medications, a vena cava filter, and graduated compression stockings. . You can prevent blood clots in the leg by moving around during prolonged periods of immobility, taking your medicine as your doctor has prescribed, getting up and moving as soon as possible after surgery or an illness (this lowers your chances of getting DVT), and exercising your leg muscles during long trips (particularly the lower leg muscles). -
Facial Fracture
Facial fracture refers to any injury that results in a broken bone or bones of the face. Symptoms of a facial fracture depend on what bones are broken. Treatment of a facial fracture again, depends on what bones are broken. -
Gastrointestinal Bleeding (GI)
Gastrointestinal (GI) bleeding either comes from the upper GI or lower GI tract. Upper GI bleeding can be caused by ulcers, gastritis, varices, cancer, or inflammation. Lower GI bleeding is caused by diverticulitis, cancers, IBD, infection, polyps, hemorrhoid's, and anal fissures. Symptoms of GI bleeding include fatigue, weakness, shortness of breath, abdominal pain, vomiting blood, rectal bleeding, anemia, or a pale appearance. Treatment of GI bleeding depends on the cause. -
Head Injury (Traumatic Brain Injury)
Head injury is a general term used to describe any trauma to the head, and most specifically to the brain itself. Several types of head injuries may occur such as skull fractures, intracranial hemorrhage (bleeding) such as subdural or epidural hematoma. Treatment of a head or brain injury depends on the cause and severity of the injury. Skull fracture: A skull fracture is a break in ... -
Nail Injuries (Fingernail, Toenail)
Injuries to the fingernails and toenails can range in seriousness from a simple bruise to complete separation from the nail bed. The nail may be permanently deformed as a result. -
Rectal Bleeding
Rectal bleeding can be mild or seriouis, evern life-threatening. Causes of rectal bleeding include trauma, inflammation of the bowel, hemorrhoids, anal fissures, polyps, and tumors. Treatment of rectal bleeding depends on the cause and may include medication or surgery. -
Stool Color Changes
Stool color changes and textures to black, tarry, sticky, red, maroon, clay-colored, gray, pale, and yellow can have a variety of causes. Causes include hemorrhoids, pancreatitis, tumors, alcohol abuse, liver disease, cystic fibrosis, celiac disease, cancers, Crohn's disease, ulcerative colitis, diverticular bleeding due to diverticulitis, medication, changes in diet, and other conditions. Treatment of changes in stool color depend on the cause. -
Subconjunctival Hemorrhage (Bleeding in Eye)
Subconjunctival hemorrhage (bleeding in eye) is a bursting of small blood vessels in the sclera, or white part of the eye, located under the thin, moist membrane that covers the eye called the conjunctiva. The hemorrhage appears as a red blotch in the white of the eye. -
Subungual Hematoma (Bleeding Under Nail)
A subungual hematoma is a collection of blood in the space between the nailbed and fingernail. Subungual hematoma results from a direct injury to the fingernail. Symptoms and signs include a dark discoloration under the nail and intense pain. Treatment involves icing the injured digit, elevating the injured digit, taking pain medications, and draining the blood beneath the nail. -
Vaginal Bleeding (Abnormal Vaginal Bleeding Between Periods)
In women, abnormal vaginal bleeding when is when they are not on their period (menstruation). Symptoms of abnormal vaginal bleeding outside of your period include red blood on the underwear or pajamas, pelvic or abdominal pain, and excessive pain from menstruating, or if you are pregnant. Causes of abnormal vaginal bleeding include unbalanced hormones, during pregnancy, after trauma, uterine fibroids, menopause, and pelvic inflammatory disease (PID). Treatment for abnormal bleeding depends on the cause of the bleeding. Talk to your doctor or another healthcare professional if you have any abnormal vaginal bleeding.
REFERENCE:
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.