lecture 21 the brain and injury Flashcards

1
Q

where are the parasympathetic nerve to the pupil

A

on the outside of the third nerve

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2
Q

which nerve is runs against the skull

A

oculomotor nerve

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3
Q

if the third nerve is compressed what will you see

A

pupils will dilate

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4
Q

which artery is affected if there is a extradural bleeding

A

middle meningeal artery

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5
Q

what is white in a CT where it shouldnt be

A

blood

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6
Q

what is it called when there is bleeding under the dura

A

subdural haematoma

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7
Q

why are older people more likely to bleed when they bang their heads

A

brain shrinks, veins stretch

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8
Q

what is altered consiousness/amnesia indicative of

A

blood in the brain

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9
Q

why do people get pain and vomiting when there is blood in the brain

A

the high pressure activates the vomiting center

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10
Q

contusion

A

bleeding in the brain matter

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11
Q

what happens if there is an efflux of calcium to the bran

A

brain cells die

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12
Q

how may there be an efflux of calcium in the brain

A

disruption to the blood brain barrier lipid bilayer

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13
Q

what happens when there is too much calcium in the brain

A

free radical formation and lipid peroxidation and an inflammatory response occurs mediated by cytokines

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14
Q

where is the uncus

A

bottom of the temporal lobe

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15
Q

what can be herniated if there is raised intracranial pressure

A

uncus

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16
Q

what is it called when the brain stem is pushed down into the foraman magnum

A

coning

17
Q

what happens to the rest of your circulation when there is raised ICP

A

mean blood pressure increases

18
Q

what is it called when the rest of the circulation responds to raised ICP

A

cushings response

19
Q

what may doctors do in a trauma situation which lowers the BP

A

give the drugs to fit a feeding tube

20
Q

do you want someone blood pressure to go up or down if they have raised ICP

A

stay up