B7.055 Post CBCL Traumatic Brain Injury Flashcards
1
Q
indications for CT scan
A
evidence of skull fracture abnormal neuro exam seizure vomiting > 1 time high risk mechanism of injury decreasing GCS
2
Q
indications for lower threshold for CT
A
age > 60 resistant anterograde amnesia retrograde amnesia > 30 min coagulopathy fall > 5 stairs or > 3 ft intoxication
3
Q
how should concussion be managed
A
rest
gradual return to normal activity
4
Q
return to play post concussion
A
asymptomatic off medication
level B recommendation
5
Q
clues on imaging that suggest diffuse axonal injury
A
scattered petechial blood at gray white junction
-shearing of vessels could lend to shearing of neurons
6
Q
akinetic mutism
A
severe damage to both frontal lobes
7
Q
results of subfalcine herniation
A
distortion of RAS (decreased consciousness)
compression of ACA with strokes