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15 Cards in this Set
- Front
- Back
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What is the imaging study of choice for a intracerebral hemorrhage?
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CT scan
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What are the 4 main locations for intracerebral hemorrhages?
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Putamen (most common)
Thalamus Pons Cerebellum |
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Symptoms of Putamen IC hemorrhage?
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Gaze towards lesion
CL sensory/motor homontmous hemianopsia (visual field loss) Apahgia/hemineglect Change in conciousness |
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Symptoms of Thalamic IC hemorrhage?
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Eyes deviate away from lesion
CL sensory/motor forced downward gaze |
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Symptoms of Pontine IC hemorrhage?
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Early coma
Pinpoint pupils Decrease caloric testing decerebrate posture (extended) |
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What is decerebrate vs decorticate posture?
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Decerebrate is extended limbs, worse prognosis
Decorticate is flexed limbs |
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Symptoms of cerebellar IC hemorrhage?
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Sudden dizziness
ataxia no changes in conciousness |
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Cerebral amyloid angiopathy tend to be found where?
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Lobular
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What does one want to do with the head of the bed of a pt with IC hemorrhage?
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Elevate head to 30-45 degrees
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What is Crushing's Triad?
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HPT
Bradycardia Resp. irregularities |
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Where is vasogenic cerebral edema found?
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White matter
-caused by stroke, neoplasm or infection usually |
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Where is cytotoxic cerebral edema found?
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Grey matter
-caused by trauma usually |
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Key symptoms of subarachnoid hemorrhage?
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Sudden, sever HA (worse of life)
maybe after exertion sudden alterations in conciousness |
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What are the keys things to ask/tests to run with a pt with head trauma?
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ABC
Hx CT If CT neg--LP angiography (possibly) |
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What is a pts Glasgow coma score if they are awake and look at you when you enter the room, know where they are and can touch their nose when you ask?
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15
4 for eye 5 for verbal 6 for motor |
