Shared Flashcard Set

Details

Neurology
Neurosurgical Disorders
48
Medical
Graduate
08/19/2010

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Cards

Term
Subarachnoid Space
Definition
In which layer of the skull is the CSF located?
Term
Choroid Plexus
Definition
Where is CSF produced?
Term
A Subarachnoid hemorrhage
Definition
If you are doing a lumbar tap and all of 4 of the tubes of CSF you pull out are full of blood what can be diagnosed?
Term
1 & 4
Definition
On which tubes is a cell count done for a CSF lab?
Term
Viral
Definition

A person with a CSF result of:

 

Cell count - mostly lymph

Protein - increased

Glucose - Normal

Op Pr. elevation - slight

 

would have what type of infection?

Term
Bacterial
Definition

A person with CSF labs:

 

Cell count - mainly PMN

Protein - increased

Glucose - <2/3 BS

Op Pr. elevation - Marked

 

would have what type of infection?

Term
Mannitol
Definition
If a pts ICP was over 20, what drug would you give to diurese the pt?
Term
Pseudotumor Cerebri
Definition
What is the cause of increased ICP when the body is tricked to thinking it has a tumor?
Term
Meningitis
Definition
A pt presents with fever, nausea/vomitting, headache and a petechial rash, what would you suspect?
Term
Papilledema
Definition
What is a sign of an epidural hematoma which would cause you to rethink your idea of a lumbar puncture?
Term
Surgery
Definition
What is the first thing you would do for a pt with an epidural hematoma?
Term
Hyperventilate the pt
Definition
What is something you could do to vasoconstrict the cerebral vessels to lower the ICP?
Term
GCS - 6
Definition
A pt comes in to the ER from a MVA and is comatose. He is not able to speak to you, he grimaces when you perform a sternal rub, and his eyes do not open to voice or to pain. What is his GCS?
Term
Decorticate
Definition
What is the position called when a pt presents to you with their legs extended and arms twisted on their chest?
Term
GCS - 8
Definition
At what GCS level would you be consideringn intubating your pt?
Term
CT
Definition
What is the imaging study you would order for a head injury pt?
Term
Infection!
Definition
A pt presents with a depressed skull fracture with CSF oozing out of the wound. What worries you about that?
Term
Basilar skull fracture
Definition
A pt in an MVA presents to the ER with blood coming out of his ears and nose with a ring of clear fluid around it what kind of head injury would you suspect?
Term
basilar skull fracture
Definition
Racoon's eyes and Battle's signs are two distinct signs of what kind of fracture?
Term
Place an NG tube
Definition
What type of procedure can you NOT do to a pt with a basilar skull fracture?
Term
countrecoup
Definition
When the brain is injured on the opposite side of impact?
Term
Olfactory N.
Definition
Which cranial nerve would you worry about with a pt who fell backwards?
Term
Concussion
Definition
Non-penetrating traumatic injury to the brain with a brief period of amnesia?
Term
Concussion
Definition
A pt presents to the ER after a bicycle accident with S&S of verbal delay, disorientation, is easily destractable and cannot remember the accident, what type of injury would you suspect?
Term
Second impact syndrome
Definition
A football player receives a blow to the head and then returns to play soon after, he then receives a second blow to the head. What type of injury is this?
Term
White
Definition
Several contusions to the brain would show up as what color on a CT?
Term
Subdural
Definition
What type of hematoma is the least worrysome?
Term
epidural hematoma
Definition
What type of hematoma is the most worrysome?
Term
seizures
Definition
What would you be worried about with a patient with a subarachnoid hematoma?
Term
Epidural hematoma
Definition
A pt presents to the ER with a Loss of consciousness with lucid intervals after falling off a ladder. What type of hematoma would you worry about?
Term
middle meningeal artery
Definition
Which artery is associated with epidural hematomas?
Term
Subarachnoid hematoma
Definition
What type of hematoma will a pt present with "the worse headache i've ever had"?
Term
Subarachnoid hematoma
Definition
What type of hematoma is caused by a ruptured cerebral aneurysm?
Term
Normal Pressure Hydrocephalus
Definition
A pt presents to the ER b/c of confusion. In his lucid states, he says that he has been incontinent 3 times in the past 2 days and he has felt unsteady on his feet. What condition would you suspect?
Term
PET scan
Definition
What type of imaging scan would you use to diagnose lack of perfusion to the brain?
Term
Uncal Herniation
Definition
What is it called when the temporal lobe herniates out of the tentorial hiatus?
Term
uncal herniation
Definition
What type of injury would you suspect when one pupil is dilated and one is fixed?
Term
tonsillar herniation
Definition
What injury will present with flaccid paralysis, respiratory arrest, and bradycardia?
Term
Brown-Sequard
Definition
What type of injury will present with opposite side deficits in pain and temp, same side deficits in proprioception and spasticity?
Term
Anterior Cord Injury
Definition
What type of spinal cord injury would present loss of both sides of pain and temp, loss of movement and preservation of vibration and position?
Term
Posterior cord injury
Definition
What type of spinal cord injury presents with preservation of motor, loss of vibratory and position bilaterally, and preservation of pain and temperature on both sides?
Term
Conus Medullaris Syndrome
Definition
What spinal cord injury causes perianal anesthesia, loss of bowel and bladder function, hyperreactive DTRs, and positive Babinski?
Term
Cauda Equina Syndrome
Definition
What type of spinal cord injury results in loss of bowel and bladder function, loss of DTRs, negative Babinski and saddle anesthesia?
Term
spinal cord transection
Definition
What type of spinal cord injury results in loss of senstation, motor, and urinary and fecal retention?
Term
Spinal Epidural Abcess
Definition
What type of spinal cord issue would present with midline dorsal pain, fever and progressive limb weakness?
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