Term
What is the monro-kellie hypothesis and how does it relate to trauma? |
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Definition
Sum of brain blood and CSF volumes remains constant, so during trauma an elevated in blood or CSF fluid causes displacement of the other volumes and an increase in ICP |
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Term
What are the main types of cerebral edema? |
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Definition
Extracellular White Matter(Injury, stroke, tumor)
Cytotoxic Edema(anoxia/ischemia=cell damage)
Interstitial Edema(hydrocephalus=periventricular) |
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Term
What is the cerebral perfusion pressure? |
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Definition
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Term
What brain area injuries can lead to a concussion |
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Definition
Reticuloactivating system
Bilateral Cerebral cortex |
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Term
What area of the brain if injured by a subdural hematoma should not be drained? |
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Definition
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Term
What are some signs of ICP |
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Definition
Loss of Consciousness
Increased BP w/ wide PP
Slow pulse
Slow respiration
Unequal Pupils
Headache, nausea, vomiting, Papilledema(not in Acute) |
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Term
What are the indications of post-traumatic encephalopathy on MRI |
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Definition
Increased Ventricle size
Atrophy |
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Term
What are some persistant sequelae of CVS Trauma |
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Definition
Amnesia
Post-concussion Syndrome
Epilepsy
Behavioral defects in children
Persistant Vegetative State |
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Term
How should you transport patients with spinal injury |
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Definition
log lift with person maintaining manual traction on the head |
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Term
When are steroids used in CNS trauma |
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Definition
first 24 hours of a spinal injury may show benefit |
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Term
What are the most common brain herniations |
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Definition
Subfalacine
Trasntentorial
Tonsillar |
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Term
What is the most serious risk when giving a lumbar puncture |
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Definition
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