A alse II ć A patient is being treated following a high-speed car versus a tree collision 6 hours aga. The patient has been unconscious with abnormal motor posturing and a temperature of 40\deg C (1047). Which brain injury is most frequently associated with these symptoms? A. Herniation syndrome B. Subdural hematoma c. Difluse axonal injury D. Intracerebral hematoma
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The patient has been unconscious with abnormal motor posturing and a temperature of $40^\circ C$ ($104^\circ F$). Which brain injury is most frequently associated with these symptoms? A. Herniation syndrome B. Subdural hematoma C. Diffuse axonal injury D. Show moreā¦
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You are an intensive care doctor and have a patient with a severe brain injury following an automobile accident resulting in a skull fracture with fragments of bone penetrating into the brain. The nursing staff is monitoring his vitals, and you have been asked to evaluate your patient due to a deteriorating condition. Some of the significant findings include: - Patient is unconscious and not responding to external stimulation such as a pinprick. - Testing of the pupillary light response shows that pupils are dilated and unresponsive to light bilaterally. - Increased extensor muscle tone. - Abnormal respiratory patterns. A. Explain why the above changes may have developed. Be specific and include information related to brain function and how the brain injury can affect the neurocircuitry involved in these functions. B. Post-traumatic epilepsy occurs following traumatic brain injuries at a rate of 2-50% depending on the severity of the injury. Explain and describe the mechanism by which epilepsy develops in these patients. C. Is this patient at risk of developing other complications? Why or why not. Please explain as thoroughly as possible so I can understand. Thank you.
Sri K.
CASE STUDY T.K.O., a professional boxer, sustained a severe blow to his head in round 8. As he left his corner to begin the ninth round, he collapsed to the floor. He was rushed to the emergency department in an unconscious state and was diagnosed with a subdural hematoma. He was placed in a semi-Fowler's position and given a diuretic. Holes were drilled in his skull to relieve the intracranial pressure. 1. Where was the clot located? a. within a cerebral ventricle b. within the central sulcus c. under the outer layer of meninges d. within the central canal 2. Which of the following is true about the blood clot? a. It may continue to expand as water is pulled into the clot. b. It will probably dissolve on its own but generally causes blindness. c. It will stop enlarging as soon as the bleeding stops; no treatment is necessary after the bleeding stops. d. All blood clots in the brain are lethal, with or without treatment. 3. What caused the loss of consciousness? a. The blood clot was pressing on the brain and causing an elevation in intracranial pressure. b. The hematoma was producing a brain-toxic substance. c. The blood clot was blocking the formation of CSF. d. The hematoma caused a brain abscess because a clot is an excellent place for pathogens to grow.
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