Hematoma
A hematoma is a serious wound. Occurs
when the injury causes the blood to collect and clot under the skin. Combined
blood makes the skin spongy, inflamed, and lumpy. A hematoma is usually not a
cause for concern. It is not like a blood clot in a vein, nor does it cause
blood clots. How dangerous is a hematoma? A hematoma is similar to an injury or a blood
clot but, if left untreated, can damage tissue and lead to infection. A nose
injury can tear blood vessels inside and near the septum where both bones and
cartilage are located.
WHAT
ARE THE CAUSES OF HEMATOMA? The
most common cause of hematoma is injury or trauma to the blood vessels. This
may be due to any damage to the arteries that can impair the integrity of the
artery wall. Even minor damage to a small blood vessel can cause a hematoma.
For example, a hematoma under the nail (subungual hematoma) may appear from a
small scratch to the nails or from a small blow to an object. Severe trauma can cause severe hematomas. A fall
from the top or a car accident can cause significant bleeding under the skin or
inside the body cavities (chest or abdomen). Other types of hematoma-induced tissue damage can be
caused by surgery of any kind, invasive or dental procedures (for example,
biopsies, cutting and draining, cardiac catheterization), and injections (for
example, insulin, blood thinners, vaccines). ). Because these processes damage
tissues close to blood vessels, hematomas may often form in the area of the
procedure. In some cases, a hematoma may occur spontaneously
without any apparent cause or memory of any particular injury or trauma. Certain blood thinners may increase the risk of
hematoma formation. People taking drugs such as Coumadin (warfarin), Plavix
(clopidogrel), aspirin, Persantine (dipyridamole), or products containing
aspirin (such as Alka Seltzer) may develop a hematoma easily in blood vessels
of some people. These drugs interfere with the ability to block the blood and
therefore, minor damage to the blood vessels becomes more difficult to repair,
leading to the formation of a hematoma. Other common medications and ingredients that may
increase the tendency to bleed include; vitamin E, non-inflammatory drugs, NSAIDs such as ibuprofen
(Motrin, Advil, Aleve), garlic ingredients, once and Ginkgo biloba. In short, the list of drugs that cause excessive
bleeding includes; warfarin (Coumadin), clopidogrel (Plavix), aspirin, products containing aspirin (Alka Seltzer), dipyridamole (Persantine), vitamin E, NSAIDs, for example, ibuprofen, Motrin, Advil, Aleve, garlic ingredients, once Ginkgo biloba. There are also medical conditions that may increase
the risk of developing hematomas. People with the following conditions are at
greater risk for hematomas; chronic (long-term) liver disease, alcohol use, bleeding diseases (such as hemophilia and Von
Willebrand disease), leukemia, or low platelet count (thrombocytopenia). WHAT
ARE THE SYMPTOMS AND SYMPTOMS OF HEMATOMA? The symptoms of a hematoma usually depend on its
size and location. Pain, swelling, redness, and itching are common symptoms of
hematoma. Other symptoms associated with a hematoma are: Symptoms
of Subdural hematoma; headache,
neurologic problems (one-sided weakness, difficulty speaking, falls),
confusion, tremors. Symptoms of epidural hematoma; back pain, weakness, loss of appetite, or
bladder control. Symptoms of Subungual hematoma; nail paint, nail weakness, nail loss, nail
damage. Symptoms of splenic, hepatic, or peritoneal hematoma; abdominal pain, flank pain. Sometimes there
are no symptoms at all associated with a very large hematoma. For example, if
bleeding occurs inside the abdominal cavity, it can expand to a much larger
size before it causes any symptoms. This is possible because the hematoma can
spread to a comfortable area without compressing any organs to cause pain or
other symptoms. On the other hand, a small hematoma under the nail
can show great pain because the blood grows into a very thick area under the
nail bed and causes inflammation and irritation of the nail near the skin,
leading to pain and swelling. Depending on the location of the hematoma, a lump or
lump can sometimes be felt.
HOW
IS HEMATOMA TESTED? A hematoma test includes a physical examination
and a complete medical history. Generally, there is no special blood test for
hematoma. However, depending on the situation, tests that include total blood
count (CBC), blood pressure, chemistry and metabolic panel, and liver tests may
help diagnose a person with a hematoma and diagnose any underlying conditions
and check that these are responsible for the formation of a hematoma. Imaging
studies are often needed to diagnose hematomas within the body. Computerized
tomography (CT) of the head can accurately diagnose subdural hematoma.
Abdominal CT is a good test for suspected hematoma of the abdominal cavity
(intra-abdominal, hepatic, splenic, retroperitoneal, peritoneal). Magnetic
resonance imaging (MRI) is more reliable in diagnosing epidural hematomas than
CT scans.
WHAT
IS HEMATOMA TREATMENT? Treatment of hematoma depends on the
location, symptoms, and clinical status. Some may not need treatment at all
while others may be considered a medical emergency.
WHAT
IS THE MEDICAL TREATMENT OF HEMATOMA? For
some small and symptomatic hemorrhages, no treatment may be required. On the
other hand, hematomas with symptoms or those found in certain areas sometimes
require treatment or surgery. Even if no specific treatment is available for
the treatment of hematomas, treatment of any related symptoms can be achieved
with medication. Surgical drainage is a common treatment for certain hematomas.
The presence of symptoms and the location of the hematoma usually determine
what type of procedure is needed and how quickly it should be performed. For
example, a subdural hematoma that leads to symptoms such as headaches,
weakness, or confusion may require urgent neurosurgeon flow. Conversely, if the
lower hematoma is thought to be free of symptoms and does not go away, it may
be isolated and evaluated periodically with imaging studies (CT scan). In
addition, a subungual hematoma with severe discomfort can be removed with a
nail to allow blood to drain out of the area between the nail and the
underlying tissues. Large subungual hematomas left in place can sometimes
damage the nail and cause the nail to die and fall out. Removing such hematomas
can save the extra nail. If there is an underlying cause or factor that causes
bleeding, your correction or treatment may be a necessary step in treating
hematomas. For example, if a person has a hematoma from an anticoagulant in
another condition, the doctor may choose to abstain or postpone a small amount
of blood, depending on the condition.
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