Term
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Definition
verbal response, motor response and eye opening are graded.. the higher score the better prognosis 90% less than or equal to 8 are in coma Greater than or equal to 9 not in coma
8 is the critical score Less than or equal to 8 at 6 hours - 50% die
9-11 = moderate severity
Greater than or equal to 12 = minor injury |
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Definition
there is a point when compensatory mechanisms begin to fail and pressure rises rapidly |
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Term
elevated ICP, what is major concern? |
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Definition
compression of blood vessels and lack of oxygen being delivered to brain |
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Term
Intracranial Perfusion Pressure |
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Definition
[mean arterial pressure -ICP] needs to be adequate 40 mmHg, more important than ICP |
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Term
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Definition
when BP is elevated, bradychardia, pulse pressure widens; oxygen receptor in medulla are reflexively connected to BP regulation and this forces BP to rise when brain is hypoxic; at the same time heart rate will decrease because baroreceptors will register high BP and tell heart to slow down, widened pulse pressure |
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Term
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Definition
difference between diastolic and systolic pressure |
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Term
cerebral perfusion pressure |
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Definition
mean arterial pressure - ICP greater than 40 mmHg; < 40 mmHg can lead to ischemia |
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Term
cytotoxic edema --> vasogenic edema --> cytotoxic edema |
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Definition
cells are expanding in brain and this causes increased intracranial pressure --> leads to vasogenic edema --> positive feedback loop |
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ICP elevation can be detected by... |
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Definition
fundoscopic exam, lumbar puncture (monometer), pressure transducers |
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Term
receptor embryological development |
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Definition
can be from nervous tissue can be from epithelial tissue |
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Sherrington's classification |
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Definition
proprioceptor exteroceptors -- surface stimulation interoceptor -- internal environment (pH, O2) telreceptors -- distance stimulation |
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Definition
visceral -- organs deep -- proprioception special sensory -- cutaneous --skin |
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what determines an adequate stimulus? |
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Definition
embryological origin receptor specialization evolutionary refinement |
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what is the most sensitive receptor? second most sensitive? |
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Definition
auditory receptors visual receptors low sensory threshhold |
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what senses are not so sensitive? |
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Definition
pressure receptors, high sensory threshold |
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Definition
the range of wavelengths of light that can elicit a change in vision receptors without destroying it |
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Term
convergence vs divergence |
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Definition
convergence -->when multiple cells converge in one cell divergence -->when a single cells send information to many cells |
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Term
properties of stimulus; qualitative, quantitative, temporal and spatial |
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Definition
amplitude temporal patterns spatial patterns complexity |
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Definition
multiple sensory receptors in an area that carries the same information |
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Definition
the size of area which corresponds to the stimulation of a single afferent fiber |
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Term
how do receptive fields for second order neurons compare to first order neurons |
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Definition
larger because of convergence |
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Term
how do receptive fields for second order neurons compare to first order neurons? |
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Definition
larger because of convergence |
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Term
how is a receptive field for cells in the cochlea measured? |
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Definition
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Term
how is the receptive field for lateral geniculate measured? |
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Definition
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Term
single cells in the temporal lobe that can recognize a single face |
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Definition
represents convergence of many neurons on a single neuron |
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Term
receptive fields vary in size and density |
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Definition
it is difficult to perceive small stimulus (tick on thigh versus hand) in some areas due to large receptive fields and lack of overlap |
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Term
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Definition
brain localizes based on which pathway stimulus is imported on; if pathways change, due to cell destruction, for instance, place coding can be lost or rearranged; inherent in organization of fibers; e.g. rearrangement of cells in thalamus can change ability to localize; e.g. the sound of particular music can elicit visual perception |
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Term
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Definition
rate of firing itself is interpreted by the brain as a particular stimulus |
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Definition
phasic receptors; just a few initial firings; pacinian and meissner's |
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Definition
tonic receptors; continuous firing; merkel's discs and ruffini's are slow adapting |
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Term
how does habituation occur? |
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Definition
the cortex decides that repeated stimulus is unnecessary |
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Term
feature extraction often occurs on the same or different pathways? |
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Definition
different qualities are sent on different pathways... is often determined by ecological niche |
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Term
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Definition
physical properties of stimulus are not encoded linearly, but are logarithmic. There is a maximum response at which stimulus can increase, but response will stop increasing |
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Definition
sensitive to stimulus features that are important for survival |
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Term
receptive field of a joint receptor is measured in what unit? |
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Definition
degrees... firing rate changes as angle of joint changes.. adequate stimulus is at 80 degrees for some joint receptors and higher for others (this allows place coding, different angles stimulate receptors of different thresholds) |
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Term
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Definition
some info is blocked from being encoded at all and is often determined by ecological niche; ignoring what is not significant |
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Definition
deep touch, discriminative touch (hapsis), crude touch, vibration, itch nocioception, temperature, kinesthesia |
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Term
are itch and pain of the same functional modality? |
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Definition
no... they are not sent on the same pathways. GRPR (gastrin releasing peptide receptor) itch receptor expressed in lamina 1 2nd order cell bodies |
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Term
what two types of afferent fibers do muscle spindles have? |
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Definition
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