Levels of Brain Injury- Lecture 14 Flashcards

1
Q

mild TBI

A

a temp change in mental status

dazed, confused, or brief LOC (Few sec to min)

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2
Q

mild TBIs account for

A

85% of TBIs

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3
Q

mild TBI are synonymous w/

A

concussion

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4
Q

mild TBI tests and scans

A

appear normal

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5
Q

mild TBIs are

A

likely undiagnosed or untreated

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6
Q

mild TBI are often

A

overlooked

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7
Q

when are TBI most often remain undiagnosed

A

sports events

military

prison

DV shelters

psychiatric or substance abuse centers

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8
Q

mild TBI symptoms

A

emotional mood swings

decreased concentration and attention span

decreased processing speed

memory problems

nausea

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9
Q

mild

A
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10
Q

mild TBI symptoms cont

A

headache

fatigue

sleep disturbance

irritability

sensitivity to noise or light

balance problems

depression and anxiety

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11
Q

Mild TBI def

A

traumatically induced psychological disruption of brain fxn with at least 1 criteria (other cards)

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12
Q

criteria 1 mild TBI

A

LOC < 30 min

doesnt have to happen

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13
Q

criteria 2 mild TBI

A

amnesia < 24 hrs

loss of memory of events immediately before/after injury

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14
Q

criteria 3 mild TBI

A

AMS at time of injury

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15
Q

criteria 4 mild TBI

A

focal neurological deficits

temp vision loss

seizure

headache

etc

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16
Q

levels of concussion

A

grade 1

grade 2

grade 3

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17
Q

grade 1 concussion

A

concussion transient confusion

no LOC

duration of AMS that resolves in a few days

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18
Q

grade 2 concussion

A

concussion transient confusion

no LOC

concussion symptoms or AMS

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19
Q

grade 3

A

concussion longest lasting symptoms

either brief (Seconds) or prolonged (minutes)

20
Q

sport related TBI

A

all sports

21
Q

football players with at least 1 concussion

A

5%

22
Q

football injuries with 2nd injury during the same szn

A

14%

23
Q

football players involved with LOC

A

8%

AMS more diagnostic than LOC

24
Q

how many football players return to play on the same day

A

30%

25
Q

moderate TBI

A

LOC for a few min

confusion lasts from days to weeks

26
Q

moderate TBI impairments

A

physical, cognitive, and/or behavioral

lasts for months or are permanent

27
Q

moderate and severe TBIs together

A

15% of overall TBIs

28
Q

severe TBI

A

prolonged unconscious state lasting days, weeks or months

29
Q

categories of severe TBI

A

coma

vegetative state

persistent VS (>30 days)

minimally conscious

akinetic mutism

locked-in syndrome

30
Q

coma

A

state of deep unconsciousness

no meaningful response to stimuli

no initiation of voluntary activities

no response of limbs, except for reflex movements

31
Q

vegetative state

A

awake

unable to interact w/ environment

32
Q

someone in a vegetative state may response to

A

spontaneously or in response to stimulation

33
Q

vegetative state has

A

presence of normal respiratory fxns

digestive fxns

34
Q

persistent vegetative state

A

> 30 days

35
Q

minimally consious state

A

minimally responsive

primitive reflexes

inconsistent ability to follow commands

36
Q

akinetic mutism

A

neurobehavioral condition that results in akinesia and mutism

37
Q

akinetic mutism has presence of

A

presence of sleep/wake cycles

38
Q

akinetic mutism is d/t

A

frontal lobe damage

39
Q

akinetic mutism has

A

profound lack of motivation

minimal amount of body mvt, speech, eye opening, visual tracking

infrequent/incomplete ability to follow commands

40
Q

locked in syndrome

A

rare neurological disorder characterized by complete paralysis of voluntary muscles in all parts of the body except for those that control eye movement

41
Q

locked in syndrome is damage to

A

brainstem

ventral pons

42
Q

people with locked in syndrome can

A

think and reason

43
Q

people with locked in syndrome cannot

A

speak or move

44
Q

locked in syndrome has presence of

A

sleep/wake cycles

45
Q

how do those with locked in syndrome communicate

A

vertical eye movements and eye blinking

operate environmental controls