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Hematoma due to arterial damage in the neck after an accident - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   My husband was in a car accident 8 days ago and ended up with a concussion. Today he has a good size lump, about the size of a quarter, right on the artery. what should we do?
Doctor :   Hi
User :   hi
Doctor :   may i know where is he now ?
User :   he is sitting next to me
Doctor :   ok
Doctor :   has he been to the hospital ?
User :   yes but they just checked to see if he had any brokn bones and sent him home
Doctor :   ok
User :   what should we do
Doctor :   in that case the swelling has appeared now, u need to keep a pressure bandage on the swelling
Doctor :   and get it examined as soon as possible
User :   its on his neck
User :   do you think it could be a bood clot?
User :   should we be worried?
Doctor :   this could be due to arterial damage causing a hematoma
User :   what is a hematoma
Doctor :   hematoma , a swelling due to collection of blood
Doctor :   either due to trauma
User :   like a blood clot?
Doctor :   yes
Doctor :   but the blood gets clotted once the blood leaves the artery and gets collected into the surrounding tissue
User :   should i take him to the er right now
Doctor :   yes
Doctor :   it would be good to get him examned ASAP
User :   ok thank you
Doctor :   so that any complications can be avoided
Doctor :   in the mean time apply a ice packs on it
User :   can this wait till morning or should we go tonight
Doctor :   you can go in the morning if the swelling is small and if there are no pulsations in the swelling
Doctor :   presence of warmth, pulsations that can be seen on the surface, and increasing size of the swelling indicate a complex issue and needs to be checked
User :   he still has a really bad headache from the concussion.. how long should his head be hurting for
Doctor :   and since the swelling is in the neck region, taking chances with a large swelling can cause obstruction in the neck and breathing trouble
Doctor :   less than a week for the headahce
User :   its been 8 days for the headache
Doctor :   ok
User :   should we drive him in or call an ambulance
Doctor :   You should call , FOR EMERGENCY services so that he can be taken to the hospital for a look at the swelling
Doctor :   as well as the headache
User :   ok thank you very much, we will do that riht now
Doctor :   you are welcome
Doctor :   i hope everything will be fine and your husband recovers very soon
User :   thank you we appreciate your help
Doctor :   you are welcome
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