Flashcards in T3 - Neuro PPT (Josh) Deck (90)
On the Glasgow Coma Scale, what score is poor?
8 or less
Glasgow Coma Scale measures for what?
- Eye opening
- Verbal response
- Motor response
-- is very tough and covers the entire brain.
--- is under the dura mater, thin, arteries and veins are suspended here
-- is very thin, lies under the arachnoid, and adheres to the surface of the brain.
CSF is found beneath the --- and ---
Brain comprises --- of body mass in infancy and --- in adults.
15% in infants
3% in adults
In infants, a large proportion of blood volume is in --
Why can brain tumors be missed in infants?
intercranial pressure can be less likely to be seen due to anterior fontanel
Reasons infants and young children are more susceptable to head injury
- top heavy
- large head in proportion to body
- excessive spinal mobility and immature muscles
Stroke foot and toes curl
Infant swings to the side that is stroked
--- can reveal a spinal fluid leak.
Why do infants handle increased ICP better than adults?
Space in scull is filled how?
Early signs of ICP
- Headache on awakening (w/out eating)
- Vomiting, personality changes, irritabilty, fatigue, gait change
- Double/Blurred vision. slow pupil reaction
- Increased head circumference, bulging fontanels
- LOC change
Late Signs of ICP:
Slow breathing (bradynea)
Late Signs of CP:
Widening pulse pressure
Falls asleep quickly
Arousable w/ stimulation
Deep sleep, responds to vigorous, repeated stimulation
No response to decerebrate posturing to pain
eyes open, limbs spastic, no words, some swallow
Persistent Vegetative State (PVS)
How is brain death confirmed?
2 EEGs and 2 exams 24 hrs apart
What is the most important aspect of the physical exam for neuro probs?
Vital sign changes
Pinpoint pupils indicated...
MSO4 or poisoning
Fixed, dilated pupils mean...
brain herniation (med emergency)
Unilateral and dilated pupil means...
lesion on that side