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12 Cards in this Set
- Front
- Back
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Proper levels of consciousness is
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Alert and Oriented (x1, x2, x3; person, place, time)
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Coma is defined as
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Unconscious and unresponsive to stimuli
No voluntary movement Some LIGHT reflex activity preserved Absent DEEP reflex activity |
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Vegetative state is
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Loss of cognition but intact autonomic functions and sleep/wake cycle
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Signs of dysphonia include
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Voice disturbance
(d/t disturbance to larynx or its innervation) |
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Signs of Dysarthria include
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Motor deficiency
(slurred words, indestinct) |
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Expressive(Broca's) Aphasia is ..
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Nonfluent, slow speech with few words
The words are meaningful, small words are dropped Good comprehension with impaired repetition Impaired spontaneous speech Pt can understand what you're saying (auditory processing intact) but cannot form coherent sentences |
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Receptive(Wernicke's) Aphasia is ...
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Fluent, effortless speech that is unintelligible
Both comprehension and repetition are impaired |
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Benefits of CT scan in CNS imaging are
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Availability and quicker
Lower cost Less restrictions than MRI |
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MRI is limited in CNS imaging in ..
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Contraindications include pacemakers and ferrous foreign bodies
Relative CI include claustrophobia, non-magnetic metals (artifact) |
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Main indication for EEG is
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To DIAGNOSE and MONITOR THERAPY RESPONSE in EPILEPSY/SEIZURE
CAN NOT DX BRAIN DEATH! |
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Criteria for declaration of brain death are
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Known structural/metabolic dz
No drug intox, paralyzing agents, anesthetics Body temp > 34C (93F) |
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Important criteria for the declaration of brain death are
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Pupils fixed (at 24 hrs) and effect of atropine, epnephrine has worn off
Apnea off ventilator 10 minutes (pCO2 50+) No cerebral circulation No reflexes above foramen magnum (Corneal, gag, Doll's eye) No oculovestibular response (Cold caloric) |
