exam par 4

?
what is normal intracranial pressure?
0-10
over 15 is raised
1 of 15
what is the monro-kellie hypothesis?
3 constituencies of the cranium are incompressible, an increase in one must be offset by a decrease in others
2 of 15
what obs would you see with cushings triad?
raised IPC
HIGH BP
IRREGULAR RESPS
hypertension
3 of 15
what is the criteria for a head ct within the hour?
GCS initially<13
GCS <15 2 hr after injury
open scull fracture
seizure
vomit>1
sign of basal scull fracture
4 of 15
what are the 3 signs of a basal scull fracture?
hemotympanum (panda eyes)
cerebrospinal fluid leaking from ears or nose
battle signs (bruising behind ears)
5 of 15
D/C info for head injury?
someone stay for 24 hr
lack of appetite, sore head, feel sick but no vomit normal but go away after 2 weeks.
6 of 15
what are the signs of a stroke?
limb weakness, headache, numb on one side, aphasia (loss of speech), visual problems, papilledema (optic nerve swelling)
7 of 15
what are the 2 acronyms for stokes?
FAST
ROSIER
8 of 15
what are the 2 types of strokes?
Ischaemic
haemorrhagic
9 of 15
what is an ischaemic stroke and what treatments are given?
blockage in brain
treatment= thrombolysis (within 4.5 hr of symptoms)
thrombectomy- physical removal of clot through femoral within 4-6 hr
anti-platelet
AF can cause ischaemic stroke
10 of 15
what is a haemorrhagic stroke and what treatments are given?
bleed in the brain
treatment= reversal of anticoagulant (IV VIT K)
surgical evacuation
pallation
both strokes require CT scan within 24 hr or urgent within 1 hour
11 of 15
what time frame is classed as acute and chronic pain?
<3 months for acute
>3 months for chronic
12 of 15
what are the 3 components of the gcs?
eyes,verbal,motor
13 of 15
When assessing a patient, you should?
check, observe, stimulate
14 of 15
A patient reacts to supraorbital pressure by moving their hand up to his face. How would you record this response?
localising
15 of 15

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Card 2

Front

what is the monro-kellie hypothesis?

Back

3 constituencies of the cranium are incompressible, an increase in one must be offset by a decrease in others

Card 3

Front

what obs would you see with cushings triad?

Back

Preview of the front of card 3

Card 4

Front

what is the criteria for a head ct within the hour?

Back

Preview of the front of card 4

Card 5

Front

what are the 3 signs of a basal scull fracture?

Back

Preview of the front of card 5
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