trauma-head, neck, spine, ortho Flashcards
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o Signs/Symptoms: Headache, confusion, dizziness, nausea.
o Pathophysiology: Brain injury caused by a blow or jolt to the head, leading to temporary loss of normal brain function.
Concussion
o Signs/Symptoms: Visible deformity, bruising around eyes or ears, clear fluid from nose or ears.
o Pathophysiology: Break in the skull bone, often due to a significant impact.
Skull Fracture
o Signs/Symptoms: Severe headache, vomiting, altered consciousness.
o Pathophysiology: Bleeding within the skull, increasing intracranial pressure.
Intracranial Hemorrhage
o Signs/Symptoms: Loss of consciousness, persistent vegetative state.
o Pathophysiology: Shearing forces cause widespread damage to brain axons.
Diffuse Axonal Injury
o Signs/Symptoms: Brief loss of consciousness, followed by a lucid interval, then rapid deterioration.
o Pathophysiology: Bleeding between the dura mater and the skull, often from a torn artery.
Epidural Hematoma
o Signs/Symptoms: Gradual onset of headache, confusion, drowsiness.
o Pathophysiology: Bleeding between the dura mater and the brain, usually from veins.
Subdural Hematoma
o Signs/Symptoms: Confusion, agitation, focal neurological deficits.
o Pathophysiology: Bruising of brain tissue, often from direct impact.
Cerebral Contusion
o Signs/Symptoms: Visible wound, bleeding, neurological deficits.
o Pathophysiology: Object penetrates the skull and brain, causing direct damage.
Penetrating Head Injury
o Signs/Symptoms: Rapid deterioration after a second head injury.
o Pathophysiology: Brain swelling and herniation after a second concussion before the first has healed
Second Impact Syndrome
o Signs/Symptoms: Raccoon eyes, Battle’s sign, CSF leak.
o Pathophysiology: Fracture at the base of the skull, often involving the temporal bone.
Basilar Skull Fracture
o Signs/Symptoms: Neck pain, limited range of motion, neurological deficits.
o Pathophysiology: Break in one or more of the cervical vertebrae.
Cervical Fracture
o Signs/Symptoms: Neck pain, stiffness, headaches.
o Pathophysiology: Hyperextension and hyperflexion of the neck, causing soft tissue injury.
Whiplash
o Signs/Symptoms: Severe neck pain, deformity, neurological deficits.
o Pathophysiology: Displacement of cervical vertebrae, often from trauma.
Cervical Dislocation
o Signs/Symptoms: Paralysis, loss of sensation, respiratory difficulty.
o Pathophysiology: Damage to the spinal cord, affecting motor and sensory function
Spinal Cord Injury
o Signs/Symptoms: Hoarseness, difficulty breathing, neck swelling.
o Pathophysiology: Break in the larynx, often from direct trauma.
Laryngeal Fracture
o Signs/Symptoms: Difficulty breathing, subcutaneous emphysema, coughing up blood.
o Pathophysiology: Damage to the trachea, often from blunt or penetrating trauma.
Tracheal Injury