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Domain 2 > 2.15 Brain Injury > Flashcards

2.15 Brain Injury Flashcards

1
Q

3 indexes for determining brain injury severity

A

Glasgow coma scale, length of LOC, length of post-traumatic amnesia

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2
Q

Mild TBI structural imaging

A

Usually normal

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3
Q

Mild TBI LOC

A

0-30 minutes

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4
Q

Mild TBI alteration of consciousness

A

A moment up to 24 hours

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5
Q

Mild TBI post-traumatic amnesia

A

0-1 day

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6
Q

Mild TBI GCS

A

13-15

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7
Q

Moderate TBI structural imaging

A

Normal or abnormal, usually abnormal

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8
Q

Moderate TBI LOC

A

> 30 min & <24 hours

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9
Q

Moderate TBI alteration of consciousness

A

> 24 hours

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10
Q

Moderate TBI post-traumatic amnesia

A

> 1 day & <7 days

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11
Q

Moderate TBI GCS

A

9-12

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12
Q

Severe TBI structural imaging

A

Normal or abnormal

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13
Q

Severe TBI LOC

A

> 24 hours

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14
Q

Severe TBI alteration of consciousness

A

> 24 hours

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15
Q

Severe TBI post-traumatic amnesia

A

> 7 days

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16
Q

Severe TBI GCS

A

<8 or 9

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17
Q

Glasgow Coma Scale scoring

A 
Motor response (1-6)
Verbal response (1-5)
Eye opening (1-4)
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18
Q

Post-traumatic amnesia

A

Time from when patient regains consciousness to when they are able to form memories for ongoing events

19
Q

Agitated Behavior Scale purpose

A

To assess nature & extent of agitation during the acute phase of recovery from acquired brain injury
Allows serial assessments for objective feedback about course of agitation

20
Q

Coma/Near Coma Scale

A

Measure small clinical changes in patients with severe brain injuries
Expands levels of Disability Rating Scale (DRS)
5 levels based on 11 items

21
Q

JFK Coma Recovery Scale purpose

A

Assist with differential diagnosis, prognostic assessment & treatment planning in patients with disorders of consciousness

22
Q

JFK Coma Recovery Scale scoring

A

6 subscales: auditory, visual, motor, oromotor, communication, arousal
23 items
Higher score is better

23
Q

Disability Rating Scale

A

Measure general functional changes during course of recovery from TBI
Can track from coma to community

24
Q

Neurobehavioral Functioning Inventory

A

Collect information on wide spectrum of behaviors and symptoms commonly associated with brain injury
One completed by family members, one completed by patient

25
Q

Rancho Los Amigos level I

A

No response

Prevent complications

26
Q

Rancho Los Amigos level II

A

Generalized

Increase level of responsiveness, prevent complications

27
Q

Rancho Los Amigos level III

A

Localized

Increase level of responsiveness, consistency of responses, and functional responses

28
Q

Rancho Los Amigos level IV

A

Confused-agitated

Reduce agitation, increase consistency & functionality of responses

29
Q

Rancho Los Amigos level V

A

Confused, inappropriate, non-agitated

Begin restorative treatment of cognitive function

30
Q

Rancho Los Amigos level VI

A

Confused-appropriate

Decrease confusion, improve independence & cognition, improve information processing speed

31
Q

Rancho Los Amigos level VII

A

Automatic-appropriate

Increase processing of complex information, increase awareness of deficits, develop compensatory strategies

32
Q

Rancho Los Amigos level VIII

A

Purposeful-appropriate

Work on IADLs, exposure to community, options for employment

33
Q

Focal cortical contusion causes (3)

A

GLF, assault, gunshot

34
Q

Focal cortical contusion deficits (4)

A

Hemiparesis, aphasia, seizures, visuoperceptual

35
Q

Diffuse axonal injury causes (3)

A

MVA, non-GLF, geriatric GLF

36
Q

Diffuse axonal injury deficits (4)

A

Confused language, amnesia, apraxia, hypoarousal

37
Q

Hypoxic/ischemic brain injury causes (3)

A

Anoxia, cardiac arrest, prolonged elevated ICP

38
Q

Hypoxic/ischemic brain injury deficits (5)

A

Quadriparesis, spasticity, confusion, amnesia, hypoarousal

39
Q

Left brain (5)

A 
Positive
Interpretation
Planning, organizing, sequence
Language, talking
Knowledge of limits
40
Q

Right brain (5)

A 
Negative
Intelligence
Strategy, sports, hunting
Imagination, creativity
Intuition, impulse
41
Q

Right temporal lobe damage

A

Visual memory

42
Q

Left temporal lobe damage

A

Verbal memory/language functions

43
Q

DAI damage

A

Slowing of cognitive processes, slow thinking, difficulty in getting things done

44
Q

TBI recovery time

A

At least 18-36 months, with most rapid over first 6 months

Majority of mild TBI within 3 months

Domain 2 (18 decks)

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