Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
|
What is the following relationship called?
"blood + CSF + brain tissue = constatnt " |
Monroe - Kelly Doctrine
|
|
|
What does Monroe-Kelly Doctrine mean?
|
blood + CSF + brain tissue = constant
|
|
|
What is Cushing's triad consist of?
|
1. systolic hypertension
2. bradycardia 3. irregular respiration |
|
|
What does Cushing's triad indicate?
|
Severe increased ICP
|
|
|
Signs of acute increased ICP ?
|
1. headache
2. vomiting 3. papilloedema 4. Cushing's triad (severe case) |
|
|
What does Gerstmann's syndrome consist of?
|
1. agraphia
2. acalculia 3. finger agnosia 4. right-left disorientation |
|
|
What does Gerstmann's syndrome indicate?
|
Left parietal lobe lesion
|
|
|
What is the significance of fixed and dilated pupil in comatose patient?
|
Poor prognosis, especially bilaterally
|
|
|
What is the casue of fixed and ilated pupil
|
Injury or compression of 3rd nerve on upper brainstem
|
|
|
What is Kernohan's notch syndrome?
|
Hemisphere injury causing motor problem in the ipsilateral body side
|
|
|
What herniation may Kernohan's notch syndrome indicate?
|
Transtentorial herniation
|
|
|
3 clinical features of brain abscess
|
1. fever
2. convulsion 3. primary infection site can be identified |
|
|
3 clinical features of chronic hydrocephalus
|
Triad of symptoms:
1. dementia 2. gait disturbance 3. incontinence of urine |
|
|
Mx of brain abscess
|
1. surgical: aspirate / excision ( for tissue and micriological diagnosis as well)
2. antibiotics 3. Mx of primary infection site |
|
|
Mx of hydrocephalus
|
1. Standard:
CSF shunting (ventriculoperitoneal shunting , ventriculoatrial shunting) 2. Endoscopic thrid ventriculostomy (puncturing of aterior wall of 3rd ventricle) |
|
|
Specific Mx of obstructive hydrocephalus
|
1. removal of blockade
2. endoscopic 3rd ventriculostomy 3. Last sort: VP shunt |
|
|
Specific Mx of communicating hydrocephalus
|
1. repeated LPs
2. lumbo-peritoneal shunt 3. VP shunt 4. Last sort: ventriculo-atrial shunt |
