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Hematoma (cont.)

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How is a hematoma diagnosed?

Examination of a hematoma includes physical inspection along with a comprehensive medical history. In general, there are no special blood tests for the evaluation of a hematoma. However, depending on the situation, tests including complete blood count (CBC), coagulation panel, chemistry and metabolic panel, and liver tests may be useful in evaluating a person with a hematoma and to assess any underlying conditions and evaluate whether these are responsible for the hematoma formation.

Imaging studies are often needed to diagnose hematomas inside the body.

  • Computerized tomography (CT) of the head can reliably diagnose subdural hematoma.
  • CT of the abdomen is a good test if a hematoma in the abdominal cavity (intra-abdominal, hepatic, splenic, retroperitoneal, peritoneal) is suspected.
  • Magnetic resonance imaging (MRI) is more reliable in detecting epidural hematomas than a CT scan.

What is the treatment for a hematoma?

Treatment of hematoma depends on the location, symptoms, and the clinical situation. Some may require no treatment at all while others may be deemed a medical emergency.

Can I care for a hematoma myself?

Simple therapies at home may be utilized in treating superficial (under the skin) hematomas. Most injuries and bruises can be treated with resting, icing, compression, and elevating the area. This is remembered by the acronym RICE. These measures usually help to reduce inflammation and diminish its symptoms.

  • Rest
  • Ice
  • Compress
  • Elevate

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