Neurological Flashcards

1
Q

Monroe Kelly Hypothesis

A

Fixed space with three components:

Brain:CSF:Blood

Any increase in these areas means a decrease in another.

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2
Q

Normal ICP Range

A

0-15 mmHg

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3
Q

Calculating MAP

A

(DBP X2) + SBP / 3

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4
Q

Calculation for CPP

A

MAP - ICP

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5
Q

Increased ICP

A

Tachycardia
Cheyne-Stokes Respirations
Elevated Blood Pressure

Herniation? :

Decorticate
Decebrate
Blow pupil/differing pupils
Change in LOC / motor response

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6
Q

Cushing Triad

A

Increased in ICP

Bradycardia
Elevated Blood Pressure - Widened Pulse Pressure
Cheyne Stokes Respirations

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7
Q

Secondary Brain Injuries

A

3 H’s for secondary TBI

Hypoxia
Hypo/Hypertension
Hypo/Hypercapnia

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8
Q

CT Scan Subdural Bleed

A

Concave Shape

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9
Q

CT Scan Epidural Bleed

A

Convex Shape (Lemon)

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10
Q

Subdural Hematoma

A

Occurs between dura mater and arachnoid membrane.

Venous in nature.

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11
Q

Epidural Hematoma

A

Between Cranium and dura mater

Most of the time from traumas

Rapid Decompression of the brain stem

“lucid interval” neurological deterioration

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12
Q

subarachnoid hemorrhage

A

between the arachnoid and the pia mater

Sudden s/s. Massive headache/seizures

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13
Q

Layers of brain covering

A

Pia Mater (Thin)
Arachnoid (Middle Layer)
Dura Mater (Outer Layer)
Cranium (Covering)

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14
Q

Intraventricular Hemorrhage

A

Bleeding from ventrics.

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15
Q

Anterior Cord Syndrome

A

Hyper-flexion injury
Below T10 usually

urine/fecal incontinence
Spastic paralysis

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16
Q

Brown Sequard Syndrome

A

Penetrating Trauma

Ipsilateral Injury (one-sided injury)

Loss of pain and temperature on one side, and other side loss of fine touch and vibration (contralateral)

17
Q

Central Cord Syndrome

A

Hyper-extension Injury

Cervical - Thoracic. Upper neuron normal

18
Q

Sciwora

A

Swelling of the spinal cord

Spinal
Cord
Injury
Without
Radiograph
Abnormality

19
Q

Spinal Shock vs. Neurological Shock

A

Loss of involuntary reflexes below site of injury.

Neuro - Acute spinal cord C1 - T5. Loss of vasomotor tone at and below level of injury.