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Clinical Neurology > Neurocritical care > Flashcards

Neurocritical care Flashcards

1
Q

vasogenic edema

A

extracellular edema. BBB damaged (Eg: brain tumor)

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2
Q

cytotoxic edema

A

intracellular edema. associated w/ cellular membrane damage (eg: ischemic)

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3
Q

plateau waves/ lundberg A waves

A

increase ICP

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4
Q

crescentic hematoma

A

subdural hematoma - rupture of the bridging veins

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5
Q

biconvex hematoma

A

epidural hematoma - rupture of hte middle meningeal artery

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6
Q

angular acceleration and shear injury

A

diffuse axonal injury

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7
Q

CSF w/ xanthochromia

A

SAH

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8
Q

neurologic worsening in SAH w/ unsecured aneurysm

A

suspect rebleeding

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9
Q

neurologic worsening in SAH w/ secured aneurysm & b/w 3-15 days

A

suspect vasospasm

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10
Q

hydrocephalus & intraventricular hemorrhage

A

consider EVD in ICP needs to be monitored or treated

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11
Q

pinpoint pupils, apneustic breathing pattern

A

pontine lesion

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12
Q

ataxic breathing pattern

A

medullary lesion

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13
Q

decorticate posture

A

lesion above the red nucleus

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14
Q

decerebrate posture

A

lesion between the red nucleus and the vestibular nucleus

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15
Q

petechial hemorrhages in the brain after trauma with bone fracture

A

fat embolsim

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16
Q

brain injury & anisocoria

A

uncal herniation

17
Q

state of pathologically reduced consciousness from which the patient can be aroused to purposeful response only w/ external stimulation

A

stupor

18
Q

deep sleep, cannot be aroused, may reimace or have sterotyped movements but does not localize to the stimulus

A

coma

19
Q

awake and conscious but quadriplegic, paralysis of lower cranial nerve and horizontal gaze. preserved vertical gaze and blinking

A

locked in state

20
Q

previously comatose, but w/return of the sleep-wake cycle. lack cognitive function

A

unresponsive wakefulness

21
Q

alteration of consciousness with poor attention and fluctuation

A

delirium

Clinical Neurology (12 decks)

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