TCE Flashcards

1
Q

Pares craneales

A

1 olfatorio
2 óptico
3 óculomotor
4 patético
5 trigémino
6 oculomotor externo
7 facial
8 auditivo
9 glosofaríngeo
10 vago
11 espinal
12 hipogloso

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2
Q

Repliegues

A

Dividen la cavidad craneal en compartimentos

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3
Q

Secreción de LCE

A

400-500 mL/día

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4
Q

Circulación del LCE

A

lateral, foramen inteventricular. 3ero, acueducto mesencefálico, 4to

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5
Q

Doctrina Monro- Kellie

A

cerebro
el líquido cerebroespinal
Sangre

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6
Q

Lesión focal

A

Hematomas: epidural, subdural, intracerebral
Contusiones

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7
Q

Lesión difusa

A

Lesión axonal difusa: temporal y frontal

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8
Q

Escala de Glasglow

A

ocular, verba, y motora
Graves <8
Leves 14-15

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9
Q

3 componentes importnates

A

PIC
FSC
Metabolismo

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10
Q

FSC

A

PAM- PIC/ R

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11
Q

Consumo metabólico cerebral de oxígeno

A

El CMRO2 corresponde, en un 40%, al gasto energético basal y en un 60% al gasto energético funcional.

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12
Q

Isquemia

A

-glutamato y calcio
-baja ATP se altera el metabolismo

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13
Q

Edema citotoxico

A

se altera la permeabilidad de la membrana cel
Afecta Na/K y entrada de calcio excesiva

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14
Q

Vasogénico

A

Disrupción de la BHE. Se liberan sustancias

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15
Q

Daño cerebral secundario

A

Hipoxia, hipotensión, Hipercapnia e Hipertermia

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16
Q

Síndrome cerebral perdedor de sal

A

Hiponatremia
hormona antiidurpetica
hipocampo

17
Q

PIC aumentada (triada de Cushing)

A

Hipertensión
Bradicardia
Depresión respiratoria

18
Q

Hematoma subdural

A

Agudo: 1eras 72 horas

19
Q

Diagnóstico

A

Historia clínica
Amnamnesis
Signos vitales
Valoración neurológica
Determinar nivel de conciencia
Evaluación pupilar
Trastornos motores

20
Q

Tratamiento fisoterapéutico

A

agudo, subagudo, ambulatorio

21
Q

Agudo

A

Estimulación sensorial
Rehabiitación respiratoria

22
Q

Subagudo

A

Alteraciones motoras (recuperar consciencia)