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Med Surg: Ortho - Head Injuries
Winter Semester - 2011
17
Medical
Graduate
01/13/2011

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Cards

Term
What is a concussion?
Definition
Traumatically induced alteration of mental function
Temporary impairment
Term
What are the MC organized sports that cause head injury?
Definition
Football, soccer, basketball
Term
What activity all-together accounts for the most head injuries?
Definition
Biking
Term
What are the three types of concussions?
Definition
Coup
Countercoup
Rotational
Term
Which concussion type is caused by the initial impact?
Definition
Coup
Term
Which type of concussion is caused by the rebound action of the brain against the skull after the initial impact?
Definition
countercoup
Term
Which type of concussion is caused by a twisting of the brain as it rebounds?
Definition
Rotational
Term
What are the signs and symptoms of a concussion?
Definition
Confusion
Blank stare
Delayed /abnormal responses
Emotional lability
HA/ dizzyness, visual changes
Retrograde/antegrade amnesia
Term
Which type of amnesia is a loss of memory prior to the trauma?
Definition
Retrograde
Term
Which type of amnesia is a loss of memory after the trauma?
Definition
Antegrade
Term
Which type of amnesia is typically reported as a memory loss over a longer time period?
Definition
Antegrade
Term
What are the signs and symptoms of increased ICP?
Definition
Vomiting
Increasing HA
Altered LOC
Term
How are players evaluated at the time of a head injury?
Definition
Amnesia
LOC
Mental Testing
Physical testing
Term
What eval is done within 24hrs as an initial f/u?
Definition
IMPACT testing
Limitations of physical testing only
CT/MRI
Term
What is the treatment for a head injury?
Definition
Initial emergent stabilization
Continued treatment
Rest
Removal from activity
Physical
Mental
Acetaminophen/Ibuprofen
Term
What are the steps for returning to play post-traumatic sports head injury?
Definition
F/U testing
Provocative testing
Gradual return to training
Return to play
Term
What are the complications to a head injury?
Definition
Risk of repeat concussion
2nd impact syndrome
Post concussive syndrome
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