Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Rehab > Neuro TBI > Flashcards

Neuro TBI Flashcards

1
Q

Primary brain damage

A

-Usually irreversible brain damage
Diffuse axonal damage( high mortality rate)
Lacerations
Contusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Traumatic brain injury

A

Physical injury to the brain
Non degenerative
Non congenital
Results in temporary or permanent neurological dysfunction which can result in cognitive physical and psychological impairments.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Coup contrecoup

A

Coup injury on the site of impact
Counter coup injury in the opposite site of impact
Mixed both direct and indirect injury.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Secondary brain damage

A

Occurs later on
Haemorrhage-extradural or subdural
Brain swelling
Infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Diffuse axonal damage

A

Excessive lesions in the white matter in wide spread areas in the brain. It has a high mortality rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Mechanisms of brain damage

A 
Extracranial mechanisms
- hypotension
-hypoxia
Intercranial mechanisms
Primary and secondary brain damage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

TBI effects can be classified into 3 categories

A

Physical
Cognitive
Behavioural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

TBI effects: physical

A

Seizures,loss of motor speed and coordination.
Abnormal movements such as tremors ridgity and spasticity
Sensory problems and communication deficits
Loss of counsciousness in early or accrue stages are common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

TBI effects: cognitive

A

Disorders of attention concentration and memory
Problems understanding or producing speech
Difficulty initiating and planning daily activities
Poor reasoning or judgement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

TBI effects: behavioural

A

Agitation and irritability, verbal and physical aggressiveness
Impulsivity depression suicidal thoughts
An egocentric or self orientated in interpersonal relationships

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Acutebstage following TBI

A

Loss of consciousness is quite common

GCS is used to monitor level of consciousness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the Glasgow Coma Scale

A

It is an OM to use to asses a pt that is in acute stage following a TBI. It is used to asses the patients level of consciousness. Pt is classified by their eye opening ability, best motor response and best verbal response
Point out of 15 is given the higher the point the more conscious the patient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Decerebrate posturing shows involvement of what part of the brain?

A

Brain stem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Decorticating posturing shows involvement of what part of the brain?

A

Thalamus, cerebral cortex, midbrain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When do you know a person is no longer in a coma?

A

Combines GCS of 9 or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How does the severity of GCS work

A

Mild- GCS 13-15 <20 min coma duration
Moderate- GCS 9-12 <6h of coma duration
Severe- GCS <8, > 6 h of coma duration

17
Q

How does recovery from a coma present?

A

Periods of eye opening
Utterance of words
Uninhibited noisy behaviour
Aggression

18
Q

Frontal lobe lesions cause

A 
Paralysis,head and eye movement to opp.side 
Hemi/monoplegia 
Inappropriate behaviour 
Loss of inhibition
Loss of initiative( disinterest and unconcerned)
Primitive reflexes 
Frontal ataxia 
Urinary incontenance
19
Q

Parietal lobe lesion cause

A

Contra lateral loss of coritical sensation
Inability to appreciate size shape and weight
Receptive dysphasia

20
Q

Dysphasia

A

Condition where there is a deficiency in generation of speech
Dysphasia means partial loss of language
Aphasia full loss of language

21
Q

Acute stage following TBI what are the primary impairments of the musculoskeletal integrity

A

Primary impairments
Ms weakness ataxia reduced sensation.
Paralysis apraxia tremor
Spasticity or combinations of above.

22
Q

Apraxia

A

Poor ability to plan movement execution.

23
Q

Dominant parietal lobe affected by TBI

A

Finger agnosia
L/R confusion
Acalculia
Agraphia

24
Q

Agraphia

A

Inability to write

25
Q

Acalculia

A

Unable to do simple math

26
Q

Non dominant parietal lobe

A

Anosignosia
Dressing apraxia
Geographical agnosia
Construction apraxia

27
Q

Anosognosia

A

Lack of insight into their condition

28
Q

Temporal lobe lesions

A 
Cortical deafness 
Difficulty understanding spoken words
Auditory hallucinations 
Memory and learning difficulties
Olfactory hallucinations 
Aggressive antisocial behaviour 
Wernickes dysphasia
29
Q

Occipital lobe lesions

A

Homonymous heminopia
Cortical blindness (bilateral)
Visual hallucinations
Prosopagnosia

30
Q

Subacute to chronic problems

A 
Secondary musculoskeletal problems 
Post traumatic amnesia
Behavioural problems 
Personality changes 
Cognitive changes
31
Q

Rehabilitation phase management

A

Assessment
Objective measurement
ADL’s

32
Q

Rehabilitation phase goals

A

Reintegration into community

33
Q

How to encourage behavioural/cognitive changes in a frontal pattern

A

Reward appropriate behaviour
Withhold reward in case of maladaptive behaviour
Use of predeclared penalties

34
Q

Dysarthria

A

Unclear speech slurred speech

Rehab (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions