surgery week 7

Question 1

22M intoxicated and fell

difficult to asses

boggy swelling to frontal occipital areas

What is the most appropriate investigation

Answer 1

CT brain

Question 2

what does this ct show

Answer 2

contusion to the front of the brain

white spots

traumatic subarachnoid are the white streaks in the middle of the brain

Question 3

what fracture results in the racoon eyes

Answer 3

skull base fractures

Question 4

What is the monro kellie doctorine

Answer 4

increase the volume of either brain, CSF and blood

this then means that you get one of the others might drop

Question 5

how do you treat ICP

Answer 5

1. put drain in
2. sit them up (increase venous return)
3. make sure they are not constipated (increased abdomen-)
4. make sure CO2 is cleared
5. sedate the patient- reduce the demand of brain
6. hypertonic saline -