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Week 9 - Neuro
Neuro
18
Nursing
Graduate
12/07/2014

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Cards

Term
Migraines in children
Definition
Infants and toddlers: fussy, sleepy, “pallory”, and “vomity”, (doppy, sneezy, bashful, and doc)

Children: periodic HA’s with n/v and relieved by rest
Term
What type of migraine is more common in children?
Definition
- NO AURA
Term
What are tension headache pain characterized as?
Definition
"bandlike"
Term
Tension headaches
Definition
• 30-min. to 7-day
• Pressing/tightening, "bandlike"
• Mild to moderate intensity
• No photophobia or phonophobia
• Bilateral location
• No nausea/vomiting
• No aura
• Not aggravated by usual activities
Term
Tension headaches tx
Definition
Mild analgesics: acetaminophen (15mg/kg/dose or Ibuprofen (7.5 to 10 mg/kg/dose)
Term
Migraine headaches
Definition
• 1- to 72-hr duration
• Pounding quality
• Moderate to severe intensity
• Photophobia or phonophobia or both
• Unilateral or bifrontal
• Nausea/vomiting
• Aura
• Aggravated by activity
• Family history of migraine
Term
***Generalized seizures (6)
Definition
Tonic-clonic
tonic
atonic
absence
myoclonic
infantile spasms
Term
***Partial seizures(2)
Definition
simple partial
complex partial
Term
what do u do for seizures?
Definition
Do a head CT first then a lumbar puncture!
Term
absence vs. partial complex
Definition
Partial complex:
• more complicated automatisms such as repetitive swallowing, picking of the hands, or walking in circles
• f/by postictal confusion
• Occur spontaneously and last several minutes
• One or two per day


Absence:
• no postical confusion
• provoked by hyperventilation, lasts a few seconds
• Dozens a day
Term
Neurofibromatosis
Definition
Six or more café au lait macules greater than 5 mm in prepubertal kids, or 15 mm in postpubertal kids, AND ONE of the following:

Axillary or inguinal freckling
Lisch nodules of the iris
Two or more neurofibromas or one plexiform neurofibroma
Osseous lesions (sphenoid dysplasia, scoliosis)
Optic gliomas
An affected first-degree relative
Ash leaf macule -> most typical of tuberous sclerosis NOT neurofibromatosis
Term
Guillain-Barre syndrome
Definition
- ascending paralysis!!!
Term
What are epidural hematomas usually associated with?
Definition
temporal fxs and convex hematoma on CT
Term
GCS scale
Definition
• Mild – unconscious <15 min; GCS 13-15
• Mod – unconscious >15 min; GCS 9-12
• Severe – unconscious >6hr; GCS 3-8
Term
primary brain injury
Definition
Results from what has occurred to the brain at the time of the injury
Term
Secondary brain injury
Definition
Physiologic and biochemical events which follow the primary injury
Term
Sports injury grading
Definition
• Grade 1 (mild): Symptoms
No LOC, ringing, HA, dizziness, or memory loss

• Grade 2 (mod.): LOC < 5 min or posttraumatic amnesia (PTA) > 30 min

• Grade 3 (sev.): LOC > 5min or PTA > 24h
Term
Sports injury management
Definition
• Grade 1: observation; may not return to competition until symptom-free upon exertion
• Grade 2: observation; may not return to competition for 1 wk after sx-free upon exertion
• Grade 3: admit; refer for neurocognitive testing prior to resumption of contact sports
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