TBI Flashcards

1
Q

Other names for TBI

A

Acquired brain injury
Craniocerebral Trauma

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2
Q

Two types of TBI

A

Open
Closed

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3
Q

MOI of Open TBI

A

Object pierces through skull and meninges, enters the brain

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4
Q

MOI of Closed TBI

A

Injury to brain without penetration of skull

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5
Q

Which type of TBI is more detrimental?

A

Closed, no where for the pressure and swelling to go

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6
Q

Primary Brain Injury

A

Initial injury to the brain that occurs at the initial impact

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7
Q

What is a coup lesion?

A

Direct lesion on the brain under point of impact

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8
Q

What is a contrecoup lesion?

A

Injury on the opposite side of the brain caused by the rebound effect of the brain after impact

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9
Q

Secondary Brain Injury

A

Damage that occurs later, as a result of initial injury

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10
Q

What are examples of secondary injury?

A

Hematoma
Hypoxia
Ischemia
Increased intracranial pressure
Post-traumatic epilepsy

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11
Q

Subdural Hematoma forms between what layers?

A

Dura and arachnoid mater

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12
Q

What is a subdural hematoma secondary to?

A

Venous rupture

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13
Q

Epidural Hematoma forms between what layers?

A

Skull and dura matter

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14
Q

If hematoma is suspected, what is the action?

A

IMMEDIATE emergency action

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15
Q

Focal damage

A

Brain damage is focal and direct at the point of injury

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16
Q

Is a focal damage minor?

A

Yes

17
Q

Patient presentation from focal damage to brain?

A

“presents like stroke”
localized or specific deficits

18
Q

Diffuse damage

A

Widespread damage that affects other parts of brain

19
Q

Patient presentation from diffuse damage to brain?

A

“presentation varies”
global deficits
prolonged vegetative state
involves many body systems/structures

20
Q

What happens in a diffuse axonal injury (DAI)?

A

Neural cells in brain are stretched to the point of tear, axons pulled away from cell body

21
Q

What causes a higher risk for dementia associated with DAI?

A

Deposition of tau and APP proteins (plaques and tangles)

22
Q

Most common causes of DAI?

A

Falls
MVA
Assault/Acts of Violence
Suicide attempt
Shaken Baby Syndrome

23
Q

What is a hallmark sign of a DAI (cellular level)?

A

“Retraction ball”
Axon draws back towards cell body

24
Q

Why is it bad to have high levels of calcium from TBI?

A

Calcium cascade leads to apoptosis (cell death!)

25
Q

Complication in axonal regeneration in CNS?

A

More scar tissue build (glial scar formation)
Oligodendrocytes are not as fast and efficient in healing process
Lack of clearance of debris

26
Q

Is axonal regeneration easier or harder in CNS vs PNS?

A

Harder in CNS
Easier in PNS

27
Q

What are the three components to Glasgow Coma Scale?

A

Eye Opening
Verbal Response
Motor Response

28
Q

How are mild TBI objectively diagnosed?

A

Acute Concussion Evaluation (ACE)
Sport Concussion Assessment Tool 5 (SCAT 5)

29
Q

What is Ranchos Los Amigos used for?

A

To assess how much assistance the individual will need to function on a daily basis (general assessment)

30
Q

Ranchos Los Amigos: Level 1

A

No response: Total Assistance

31
Q

Ranchos Los Amigos: Level 2

A

General Response: Total Assistance

32
Q

Ranchos Los Amigos: Level 3

A

Localized Response: Total Assistance

33
Q

Ranchos Los Amigos: Level 4

A

Confused/Agitated: Max Assist

34
Q

Ranchos Los Amigos: Level 5

A

Confused, Inappropriate Non-Agitated: Max Assist

35
Q

Ranchos Los Amigos: Level 6

A

Confused, Appropriate: Mod Assist

36
Q

Ranchos Los Amigos: Level 7

A

Automatic, Appropriate: Min Assist w/ Daily Living Skills

37
Q

Ranchos Los Amigos: Level 8

A

Purposeful, Appropriate: Stand-by Assist

38
Q

Ranchos Los Amigos: Level 9

A

Purposeful, Appropriate: Stand-by Assist on Request

39
Q

Ranchos Los Amigos: Level 10

A

Purposeful, Appropriate: Mod Independent