Insane in the Brain
Leaky spines
Come to the table
Rads Intern
Spinal recon
1
300 PTS
CSF produced by what structure? CSF is absorbed into blood by what structure?
Produced by choroid plexus
Absorbed by arachnoid villi
1
100 Pts
What lab test can be ordered on nasal drainage if there is a suspicion for CSF leak?
Beta 2 transferrin
1
200 PTS
What is a complication of persistently obstructed nasofrontal duct?
Mucocele
1
200 PTS
What is this
SUBDURAL (Banana)
1
200 PTS
What are the three paraspinous muscles?
spinalis, longissimus, and iliocostalis
2
300 PTS
What are the four types of hydrocephalus?
Obstructive (noncommunicating)
Impaired absorption (communicating)
Overproduction
Normal pressure hydrocephalus
2
200 PTS
Patient has a CSF leak. What is the INITIAL treatment?
HOB elevation
Bedrest
Cool compress
Abx
2
300 PTS
Describe cranialization briefly
Remove posterior table and mucosa
Obliterate NF duct
2
200 PTS
What is this
EPIDURAL HEMATOMA (LEMON)
2
200 PTS
What is the blood supply of the paraspinous muscles?
Lumbar arteries and posterior intercostals
3
600 PTS that you can steal from someone or someones
Post neurosurgery hyponatremia...
LOW UOP and Plasma ADH indicates what?
HIGH UOP and Plasma ADH indicates what?
LOW - SIADH
HIGH - Cerebral Salt wasting
3
200 PTS
Where do you place a lumbar drain?
Bonus 200: What do you set it at?
L4/L5
10-15 mmHg
3
300 PTS that you can steal from someone
Frontal sinus develops at what age and is not evident on imaging until what age?
Develops at 2yo
Evident on imaging at 8yo
3
100 PTS
What is this injury?
Anterior table fracture
3
200 PTS
Name 3 options for T spine wound recon
Lat
Trap
Paraspinous
4
200 PTS
What should the MAP goal be in a patient with TBI?
MAP >/= 65
4
200 PTS
Differential myelomeningocele and meningocele
Meningocele- just outpoutching of meninges
Myelomeningocele- outpouching of meninges with enclosed spinal cord, open
4
200 PTS
What plane do you raise a coronal flap in?
Subgaleal plane
4
200 PTS
What is this?
Mucocele
4
200 PTS
What are the blood supplies to the lat? What type of flap is it?
Thoracodorsal artery
Posterior intercostals
Type 5