Neuro Final TBI Flashcards

1
Q

Most common cause of TBI

A

Falls

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2
Q

What are the 4 main impairments of TBI

A

Cognitive
Motor sensory
Behavioral
Emotional

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3
Q

Worse outcome on Glasgow coma scale are from what?

A

Motor and eyes opening

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4
Q

Two major types of TBI

A

Open
Closed

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5
Q

Damage to the back of head can lead to what?

A

Blindness

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6
Q

Contusion is bruising where?

A

On the brain

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7
Q

What is the most common type of TBI

A

Concussion

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8
Q

What is an epidural type hemorrhage

A

Blood fills between dura and skull
Rapid deterioration
Immediate surgery needed

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9
Q

What is a subdural type hemorrhage?

A

Blood fills beneath the dura
May reabsorb or require surgery
Subdural space has VEINS

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10
Q

Epidural space has arteries or veins

A

ARTERIES

Veins are in subdural

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11
Q

What are symptoms of Increased intracranial pressure?

A

Decreased responsiveness
Impaired consciousness
Severe HA
Vomiting
Irritable
Papilledema
Change in vitals

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12
Q

What is anoxia

A

Lack of oxygen to the brain
Typically from cardiac arrest

Hippocampus (memory)
Cerebellum movement
Basal ganglia movement
ARE ALL SUPER SENSITIVE TO LACK OF OXYGEN

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13
Q

Decorticate rigidity looks like:

A

Upper extremity flexion
Lower extremity extension

Flexor! Arms like C’s : holding flowers

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14
Q

Decerebrate looks like what:

A

Extensor tone
Upper extremity internally rotated, adducted, extended with flexed wrists and fingers
Lower extremity in extension

Arms like E’s
Problems with midbrain and pons

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15
Q

Can reflexes reemerge and inhibit patient ability to initiate active movement?

A

Yes
Labrinthe, STNR, ATNR, flexor withdrawal

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16
Q

What is the biggest problem for TBI patients?

A

Behavioral changes
Can be socially disabling, changes in personality and temperament

Involve family as soon as possible, as much as possible

17
Q

What are the sensory problems with TBI patients?

A

Tactile kinesthetic
Vision
Perception
Proprioception