6.2.1 Traumatic Brain Injury Flashcards

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1
Q

What is the difference between a central and lateral brain herniation?

A

Central - Midsize, bilateral non-reactive pupils

Lateral - Unilateral dilated non-reactive pupils

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2
Q

What is an epidural hematoma?

A
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3
Q

How can severity differ in regards to torque applied to the brain?

A
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4
Q

Where can injuries occur to the following nerves:

Olfactory

CN7

CN 8

CN 4

CN12

A
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5
Q

What are some clinical manifestations of a concussion?

A
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6
Q

What are the characteristics of brain edema?

A

Vasgenic - disruption of BBB leading to EC edema affecting white matter capilaries

Cytotoxic - cerebral ischemia leading to EC water passing into neurons resulting in swelling, inability to maintain ATP-Na/K pump

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7
Q

Describe the autoregulation of Cerebral blood flow in regards to BP

A

As blood pressure is increases arterioles will vasoconstrict in order to maintain normal cerebral blood flow

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8
Q

What are the two types of Traumatic injuries that can happen to the brain?

A

Penetrating and Blunt injuries

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9
Q

Describe the autoregulation cerebral blood flow in regards to pCO2

A

Increase in pCO2 will cause an increase in CBF this is due to maintaining normal pH of the blood in the brain

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10
Q

What are the different types of cranial bleeding?

A

Subdural

Epidural

Intracerebral

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11
Q

Differentiate between primary and secondary injuries.

A

Primary - occur at the time of the trauma

Secondary - Complications subsequent to the trauma

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12
Q

Intracranial pressure is normally?

A

15

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13
Q

What is a brain laceration?

A

Visible tear in the brain

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14
Q

Where are the 4 instances that the brain can herniate?

A
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15
Q

What is angular acceleration in relation to traumatic brain injury?

A
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16
Q

What are some ways to reduce intracranial pressure?

A

External ventricular drainage

Hyperventilation - decreased CO2 and vasoconstriction

Hyperosmolar therapy

17
Q

What is a Chronic Subdural Hematoma?

A
18
Q

What is a concussion?

A
19
Q

What is post concussion syndrome?

A

Recovery from a concussion may be followed by recurrent headache, impaired ability to concentrate, and other minor neuro symptoms

20
Q

What is diffuse axonal injury?

A

a brain injury in which damage in the form of extensive lesions in white matter tracts occurs over a widespread area.

21
Q

What is a cerebral contusion?

A
22
Q

What is a CSF leak?

A
23
Q

What is hydrocephalus and describe the difference between communicating and non-communicating.

A
24
Q

What is a traumatic subarachnoid hemorrhage?

A
25
Q

What is a subdural hematoma?

A
26
Q

What cranial nerves are most susceptible to injury?

A

CN I, VII, and VIII