TBI Flashcards
first line med for partial seizures
carbamazepine??? vs valproic acid?
first line treatment for generalized seizures
valproic acid
Early post traumatic seizures in children
unlike adults, early seizures in children do not correlate with the occurrence of late seizures
so if early seizure post trauma 1-7 days, EEG should be obtained next, and if no epileptiform activity, decr dose by 50% and then d/c the following week….
Where does clonidine act in the brain for help with opiate withdrawal?
The locus coeruleus is a principle secretor of norepinephrine in the brain, which is suppressed with opiate use. When opiates are discontinued, norepinephrine production picks back up, which contributes to withdrawal. Clonidine suppresses this adrenergic action to reduce withdrawal symptoms.
pooling between the pharyngeal surface of the tongue and the epiglottis. What is this space called?
valleculae
According to cantu, if LOC > 5 mins after concussion when return to play?
Return to play 1 month after injury if asymptomatic for 1 week.
Ranchos Los Amigos scale
Grade I - No response;
Grade II general response;
Grade III localized response (MCS)
Grade IV - confused agitated, inappropriate;
Grade V - confused, inappropriate, nonagitated;
Grade VI confused, appropriate, nonagitated (will need moderate assistance)
Grade VII - automatic response, appropriate; Grade VIII - purposeful response, appropriate
Clinical Dementia Rating (CDR) of 3 is consistent with dementia of what severity
3 or more is severe
Anosognosia vs agnosia
impaired ability to recognize the presence or appreciate the severity of deficits in sensory, perceptual, motor, affective, or cognitive functioning?
Anosognosia
Agnosia is inability to recognize sensations.
Kluver-Bucy syndrome
symptoms typically include frequent placing of objects in the mouth and inappropriate sexual behavior, secondary to bilateral temporal lobe lesions (especially with hippocampal damage).
