Chapter 3 Neuro ICU

Question 1

Vasogenic edema

Answer 1

extracellular edema, BBB damage (brain tumor)

Question 2

Cytotoxic Edema

Answer 2

intracellular edema (hypoxia)

Question 3

Plateau waves or lundberg a waves

Answer 3

increased intracranial pressure

Question 4

Crescentic Hematoma

Answer 4

subdural

Question 5

Biconvex hematoma

Answer 5

epidural

Question 6

Angular acceleration and shear injury

Answer 6

Diffuse axonal injury

Question 7

CSF with xanthochromia

Answer 7

SAH

Question 8

Neurologic worsening in SAH with secured aneurysm in 3-15 days

Answer 8

suspect vasospasm (nimodipine)

Question 9

Neurologic worsening in SAH with UNsecured aneurysm

Answer 9

suspect rebleeding

Question 10

Hydrocephalus and IVH

Answer 10

consider EVD

Question 11

pinpoint pupils and apneusitc breathing

Answer 11

pontine lesion

Question 12

Ataxic breathing pattern

Answer 12

medullary lesion

Question 13

Decorticate posturing

Answer 13

lesion above the red nucleus

Question 14

Decerebrate posturing

Answer 14

lesion below the red nucleus but above the vestibular nucleus

Question 15

petechial hemorrhages after long bone fractures

Answer 15

fat emboli

Question 16

brain injury and anisocoria

Answer 16

uncal herniation