Chapter 15

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Neurologic Alterations
cookn
Flashcards by cookn, updated more than 1 year ago
cookn
Created by cookn over 12 years ago
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Question Answer
coup object strikes front head injury directly below point of impact
contrecoup object strikes back of head injury on opposite side of impact
epidural hematoma bleeding between skull and dura mater common in adults ages 20-40
symptoms of epidural hematoma loss of consciousness with injury periods of lucidity with proggresive loss of consciousness
subdural hematoma bleeding between brain and dura mater can be acute or chronic
intracerebral hematoma bleeding within the brain common in frontal and temporal lobes
clinical manifestations of intracerebral hematoma decreasing level of consciousness sudden and rapidly progressing decrease in LOC
stroke cerebrovascular disease 3rd leading cause of death
types of strokes thrombotic embolic hemorrhagic
thrombotic stroke arterial thrombus usually occurs at bifurcation site
embolic stroke fragments of thrombus formed outside the brain
hemorrhagic stroke intracerebral bleed arterio-venous malformation
primary cause of stroke atherosclerosis
risk factors of stroke hypertension diabetes smoking
clinical manifestations of stroke contralateral weakness sensory defects ischemia necrosis
Carotid Artery Disease narrowing of arteries
transient ischemic attack brief episode of neurologic dysfunction mini stroke symptoms resolve COMPLETELY
subarachnoid hemorrhage blood escapes from defective or injured vessel into the subarachnoid space
subarachnoid space beneath the arachnoid membrane and above the pia mater
signs indicative of subarachnoid hemorrhages kernig brudzinski
kernig's sign sitting position with hip and knee flexed leg elevation elicits pain in back and neck
brudzinski sign passive neck flexion produces pain and rigidity
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