July 28, 2015
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Hematoma (cont.)

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When should I seek medical care for a hematoma?

Medical attention may be sought for a hematoma if its symptoms are severe or its size continues to expand. For example, hematoma in the brain (subdural) or epidural hematoma generally require prompt medical and surgical attention, especially if they are associated with neurologic problems.

Doctors who typically care for patients with hematoma are emergency room physicians, urgent care physicians, surgeons, neurosurgeons, and internal medicine doctors.

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.
Medically Reviewed by a Doctor on 2/24/2015


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