Head Trauma Flashcards
1
Q
concussion
A
- alteration in cerebral function without pathological changes in brain structure
- immediate impairment of neural function (consciousness, vision, equilibrium)
- transient, mostly reversible less than 6 hours
2
Q
post concussive syndrome
A
- headache, dizziness, nausea, dysequilibrium, fatigue, impaired memory, irritability
- can last for weeks/months after a concussion
3
Q
after a concussion, wait ___ weeks before returning to sports
A
after a concussion, wait 2 weeks before returning to sports
- sx should be completely resolved before return
- slowly increase activity again
4
Q
coup contusion
A
bruise is directly under the impact
5
Q
countercoup contusion
A
bruise is on the opposite site of the impact
6
Q
glasglow coma score
A
- scale of 3(worst) -15 (normal)
- grades severity of head trauma
- must have at least 1 point in each category
7
Q
consequence of severe midline shift or tentorial herniation
A
hemorrhagic infarcts in the midbrain
8
Q
Kernohan’s Notch
A
- expanded hematoma
- compresses contralateral peduncle
- ipsilateral hemiparesis
9
Q
cephalohematoma
A
- under periosteum
- calcified bumps
10
Q
linear skull fracture
A
- usually in kids
- the fracture acts as suture lines, and are pushed apart as the brain grows
- check over time for soft boggy spot
11
Q
depressed skull fracture
A
- skull indents
- always fix if frontal
- wait to fix if posterolateral
12
Q
open depressed skull fracture
A
-repair dura, lobe, scalp
13
Q
basilar skull fracture
A
- hearing loss
- CSF leak
14
Q
Battle’s sign
A
- temporal bone fracture (basilar skull fracture)
- blood (bruise) collects in mastoid area
15
Q
raccoon eyes
A
- anterior skull base fracture
- blood collects in eye sockets
