Neuroscience/Brain injury

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Contents

Objectives

  • Given a detailed description of a brain injured patient in the acute stages after injury, the student will be able to make a determination of the Glasgow Coma Scale score.
  • Given various common terms used in the brain injury literature, the student will be able to give definitions of those terms.
  • Given the description of a patient action and a description of characteristics in that stage, the student will be able to correctly identify the RLA level.
  • Given a RLA level on a particular patient, the student will be able to name at least one treatment goal at that stage.

Cerebral trauma

  • When presented with the results of a history and physical examination or a description of pathology, students should be able to recognize the following types of head injury:
    1. Cerebral concussion
    2. Cerebral contusion
    3. Contracoup injury

and correctly identify the pathophysiology involved.

  • When asked, students should be able to list the complications that can follow a head injury and threaten the patient's level of recovery and even survival.
  • hen presented with the details of a case of a patient with a head injury, students will be able to outline the initial plan of managements under the following headings:
    1. criteria for release of patients after head injury
    2. Criteria for hospital admission and observation
    3. Criteria for emergency diagnostic evaluation or surgery
  • When presented with a case record of a patient with a head injury, students will be able to make an assessment of the prognosis for good recovery
  • When presented with the results of a history and physical examination, students will be able to distinguish among:
    1. extradural hematoma
    2. Subdural hematoma
    3. Intracerebral hematoma

and correctly identify appropriate treatment for each

  • When asked, students should be able to state the components of the Glascow Coma Scale and correctly indicate how a particular score could be used to assess severity of head injury and predict outcome.

Traumatic brain injury

  • be able to define Traumatic Brain Injury and its pathomechanism and characteristic features
  • be become familiar with common measures like Glasgow Coma Scale (GCS), and post-traumatic amnesia (PTA) test, etc., to determine the severity of the brain injury
  • to learn about some medical complications seen in the patient with a brain injury
  • be able to identify rehabilitative goals for a patient with acquired brain injury

Wikipedia links


Exam

  • Cerebral arterial Perfusion Pressure = systemic BP - ICP (forumla)
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