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
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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
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3
Q

how should concussion be managed

A

rest

gradual return to normal activity

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4
Q

return to play post concussion

A

asymptomatic off medication

level B recommendation

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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

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6
Q

akinetic mutism

A

severe damage to both frontal lobes

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7
Q

results of subfalcine herniation

A

distortion of RAS (decreased consciousness)

compression of ACA with strokes

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