Pediatric TBI Flashcards

1
Q

_____ is a cerebral contusion that occurs distant to the point of impact against an object.

A

contrecoup

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2
Q

in secondary brain injury, in kids ______ may result in greater risk of shearing injury

A

incomplete myelination

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3
Q

GCS ____ is considered mild brain injury
_____ is considered moderate brain injury
_____ is classified as a severe brain injury, and the patient is considered to be comatose

A

13-15
9-12
3-8

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4
Q
Name the GCS, duration of PTA, and duration of unconsciousness for the following classes of brain injury
Mild
Moderate
severe
profound
A

Mild: GCS 13-15, PTA 24h, LOC 1-90 days

Profound LOC > 90 days

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5
Q

Majority of improvement in IQ occurs in the first_____ after TBI in kids

A

4 months

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6
Q

Diabetes insipidus is excessive water loss secondary to deficiency of _____ which is produced in the ____.

A

ADH, hypothalamus - presence might be a poor prognostic factors for post-TBI survival

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7
Q

_____ is characterized by decrease in urinary output, hyponatremia, and decreased serum osmolality

A

SIADH

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8
Q

prolonged intubation can result in _____, ____, and ____

A

tracheal stenosis in the glottic area
traheomalacia
vocal cord injury/paralysis

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9
Q

_____ should be assessed before placing a g-tube in a kid

A

GE reflux

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10
Q

Central autonomic dysfunction is associated with _____ dysfunction and is correlated with a more protracted period of ______ and worse outcomes > 1 year after injury

A

hypothalamic/brainstem; unconsciousness

motor/cognitive

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11
Q

Do not use ____ in treatment of HO in kids because it has been reported to result in reversible rachitic syndrome in growing kids

A

etidronate

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