Can u smell something fishy regarding diz question????
After been hit, he was unconscious for few minutes...Later on, he recovered... and he collapsed again 6 hours after the game..... diz kind of event known as Lucid Interval -temporary improvement.. big indication why it's epidural or extradural hematoma
In emergency medicine, a lucid interval is a temporary improvement in a patient's condition after a traumatic brain injury, after which the condition deteriorates. A lucid interval is especially indicative of an extradural hematoma
Back to the question....
Initially, he was complaining of having headache. As time goes by, he became progressively drowsy and vomited twice. He was brought unconscious to A&E after complaining of headache. His right pupil dilated.
Why?- Extradural haematoma compress the brain which leads the increasing of Intracranial Pressure (ICP).. that's why patient having headache and worsening with drowsy, vomiting........
When intracranial pressure (ICP) severely increasing.....it leads to coning or (brain herniation),
thats why patient having his right pupil dilated ( 3rd nerve palsy ) - coning at tentorium cerebelli.
Several types of herniation
- Subfalcine Herniation
- Central Herniation
- Transtentorial Herniation
- Tonsillar Herniation
- Upward Herniation *u can search better image for diz one* >.~
Fun ways u can remember 12 cranial nerves and its functions ^_______^
Drawing - i prefer diz one, atleast i can paste it on the wall my so called mona lisa sketch....
Mnemonic
Singing
No comments:
Post a Comment