Cerebral Dysfunction
The term used for a convulsive generalized seizure
Tonic-Clonic (used to be "grand mal")
Name a persistent primitive reflex that could be seen in CP
+Babinski, tonic-neck, Moro
Bradycardia, irregular respirations, widened pulse pressure
Cushing's reflex
Most common sports-related TBI in children
Main difference between viral and bacterial meningitis
bacterial growth occurs in cultures for bacterial meningitis; no growth will occur in cultures for viral
First-line medication used for status-epilepticus
lorazepam, diazepam, midazolam (ie. a benzodiazepine)
Medical term for neural tube defect most commonly referred to as "spina bifida"
myelomeningocele
Long-term treatment for increased ICP
VP shunt
Expected clinical symptoms seen with an epidural hemorrhage
Brief LOC followed by return to baseline, followed by progressive lethargy and coma
Most common pathogen that causes viral meningitis
enterovirus
Fixed and dilated pupil >5 minutes
brain herniation
Clinical features of dystonic CP
Abnormal posture, slow, twisting movements
Name one physical exam feature suggestive of hydrocephalus in an infant
high pitched cry, enlarged head circumference, bulging fontanelle, distended scalp veins, frontal bossing, +Macewan sign
GCS indicating severe TBI
<8
Lab test that can help confirm diagnosis of Reye's syndrome
ammonia
Preschoolers are most likely to experience a drowning here
pool
Timeframe for surgical closure of myelomeningocele
24-72 hours
Excessive urine output and hypernatremia
Diabetes insipidus (DI)
Name TWO symptoms seen in post-concussion syndrome
HA, fatigue, photophobia, dizziness, nausea, irritability, cognitive/memory deficits
Treatment for encephalitis
acyclovir
2 years
Name THREE long-term complications for the child with spina bifida
physical disabilities, joint contractures, scoliosis, skin breakdown, chronic UTIs, constipation
Name TWO nursing interventions for increased ICP
low-stim environment, midline positioning, minimize suctioning, cluster care, pain management, thermoregulation
Score given on verbal response category on Pediatric GCS for <2 year old that responds with smiling/cooing
5
Purpuric rash seen in child with encephalopathy
meningococcemia