Alterations in Neuro 3 Flashcards

1
Q

Cerebral Palsy

A

syndrome of mvmt + posture dvlpt disorders

  • caused by lesions in brain
  • can be fr meningitis, encephalitis, trauma
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2
Q

Cerebral Palsy

manifestations

A
  • abnorm muscle tone
  • lack of coordination
  • difficult feeding
  • poor sucking + swallowing coordination
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3
Q

2 types of Cerebral Palsy

A

Spastic

Dyskinetic

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4
Q

Spastic Cerebral Palsy
manifestations

««»>

A
  • contracture
  • persistent common new born reflexes
  • abnorm muscle tone
  • lack of coordination
  • difficult feeding
  • poor sucking + swallowing coordination
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5
Q

Dyskinetic Cerebral Palsy

manifestations

A

-abnorm muscle tone affecting ENTIRE BODY

  • lack of coordination
  • difficult feeding
  • poor sucking + swallowing coordination
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6
Q

Traumatic Brain Injury

A

blund force or penetrating injury to head

>disrupts norm brain functioning

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7
Q

Traumatic Brain Injury

primary injury

A

occurs at time of impact when initial cellular damage takes place

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8
Q

Traumatic Brain Injury

secondary injury

A

from response to primary injury:

  • cerebral edema,
  • inflammation,
  • ischemia,
  • incr ICP
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9
Q

Traumatic Brain Injury

secondary injury results in

A

> results in decr CPP, limits circulation, cause death of brain cells

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10
Q

Mild Brain Injury aka Concussion

manifestation

A
  • slowness in thinking, acting, + speaking

- poor concentration

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11
Q

Moderate Brain Injury

manifestation

A

glasgow coma scale of 9-12

-loss of consciousness

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12
Q

Severe Brain Injury

manifestation

A

glasgow coma scale of 8 or less

-incr ICP

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13
Q

subdural hematoma

etiology

A

more common in infants less than 1 y.o.

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14
Q

subdural hematoma

manifestations

A

symptoms may occur 48-72hr after injury

  • gradual change in LOC
  • vomiting

child fell off operating table. 48 hrs later, change in loc + vomiting. what does he have?

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15
Q

epidural hematoma

etiology

A

rare in kids

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16
Q

epidural hematoma

manifestaions

A

rapid deterioration

17
Q

most common TBI

A

cerebral contusion

18
Q

Diffuse axonal Injury

manifestations

A
  • immediate loss of consciousness
  • unconscious lasting longer than 6 hr
  • abnorm mvmt + posturing
  • seizures
  • incr ICP
  • difficulty regulating BP + breathing
19
Q

TBI may experience resp failure due to

A

herniation

20
Q

TBI

replete volume…

A

as neeses

21
Q

TBI position

A

15-30 degrees w neck straigh to help venous return fr brain

22
Q

TBI

education

A

prevention of future events is important

23
Q

Concussion

diagnostic + prognosis

A

-unremarkable radiographic imaging
-symptoms last 7-10 days
»»w even longer fill cognitive recovery

24
Q

Hypoxic-Ischemic Brain Injury aka

A

Drowning

25
Q

leading cause of unintentional death

A

Hypoxic-Ischemic Brain Injury aka Drowning

26
Q

all submersion victims must be observed in hospital for…

A

6-8 hours

27
Q

pt got ventriclueaperitoneal shunt. which is sign that shunt isnt working?

A

bulging fontanelle

other: gcs15, neg bradinski