Levels of Brain Injury- Lecture 14 Flashcards

1
Q

mild TBI

A

a temp change in mental status

dazed, confused, or brief LOC (Few sec to min)

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2
Q

mild TBIs account for

A

85% of TBIs

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3
Q

mild TBI are synonymous w/

A

concussion

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4
Q

mild TBI tests and scans

A

appear normal

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5
Q

mild TBIs are

A

likely undiagnosed or untreated

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6
Q

mild TBI are often

A

overlooked

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7
Q

when are TBI most often remain undiagnosed

A

sports events

military

prison

DV shelters

psychiatric or substance abuse centers

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8
Q

mild TBI symptoms

A

emotional mood swings

decreased concentration and attention span

decreased processing speed

memory problems

nausea

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9
Q

mild

A
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10
Q

mild TBI symptoms cont

A

headache

fatigue

sleep disturbance

irritability

sensitivity to noise or light

balance problems

depression and anxiety

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11
Q

Mild TBI def

A

traumatically induced psychological disruption of brain fxn with at least 1 criteria (other cards)

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12
Q

criteria 1 mild TBI

A

LOC < 30 min

doesnt have to happen

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13
Q

criteria 2 mild TBI

A

amnesia < 24 hrs

loss of memory of events immediately before/after injury

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14
Q

criteria 3 mild TBI

A

AMS at time of injury

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15
Q

criteria 4 mild TBI

A

focal neurological deficits

temp vision loss

seizure

headache

etc

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16
Q

levels of concussion

A

grade 1

grade 2

grade 3

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17
Q

grade 1 concussion

A

concussion transient confusion

no LOC

duration of AMS that resolves in a few days

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18
Q

grade 2 concussion

A

concussion transient confusion

no LOC

concussion symptoms or AMS

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19
Q

grade 3

A

concussion longest lasting symptoms

either brief (Seconds) or prolonged (minutes)

20
Q

sport related TBI

A

all sports

21
Q

football players with at least 1 concussion

22
Q

football injuries with 2nd injury during the same szn

23
Q

football players involved with LOC

A

8%

AMS more diagnostic than LOC

24
Q

how many football players return to play on the same day

25
moderate TBI
LOC for a few min confusion lasts from days to weeks
26
moderate TBI impairments
physical, cognitive, and/or behavioral lasts for months or are permanent
27
moderate and severe TBIs together
15% of overall TBIs
28
severe TBI
prolonged unconscious state lasting days, weeks or months
29
categories of severe TBI
coma vegetative state persistent VS (>30 days) minimally conscious akinetic mutism locked-in syndrome
30
coma
state of deep unconsciousness no meaningful response to stimuli no initiation of voluntary activities no response of limbs, except for reflex movements
31
vegetative state
awake unable to interact w/ environment
32
someone in a vegetative state may response to
spontaneously or in response to stimulation
33
vegetative state has
presence of normal respiratory fxns digestive fxns
34
persistent vegetative state
>30 days
35
minimally consious state
minimally responsive primitive reflexes inconsistent ability to follow commands
36
akinetic mutism
neurobehavioral condition that results in akinesia and mutism
37
akinetic mutism has presence of
presence of sleep/wake cycles
38
akinetic mutism is d/t
frontal lobe damage
39
akinetic mutism has
profound lack of motivation minimal amount of body mvt, speech, eye opening, visual tracking infrequent/incomplete ability to follow commands
40
locked in syndrome
rare neurological disorder characterized by complete paralysis of voluntary muscles in all parts of the body except for those that control eye movement
41
locked in syndrome is damage to
brainstem ventral pons
42
people with locked in syndrome can
think and reason
43
people with locked in syndrome cannot
speak or move
44
locked in syndrome has presence of
sleep/wake cycles
45
how do those with locked in syndrome communicate
vertical eye movements and eye blinking operate environmental controls