When evaluating a soldier for shell shock it is important to consider other conditions that may be coincident or alternative explanations for the clinical findings.


Blast-related conditions in the differential diagnosis of shell shock:

(1) blast-related concussion

(2) cerebral air emboli associated with pulmonary blast injury

(3) toxic gases


Other conditions:

(1) infectious disease

(2) other causes of head injury


It is important to perform a complete history and physical examination on the patient to include a fundiscopic examination.


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