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What is the key to coma?
damage to Reticular Activating System
What is the brainstem surrounded by?
What are signs of a coma?
(difference between midbrain, pons, medulla damage)
(intact brainstem fxn)
test cranial nerves
T/F Coma occurs only on one side of the brain
FALSE: both hemispheres
If a patient is in a coma with abnormal posturing (arm's in)..what is that called?
decerebrate (arms stiff and extended)
What type of damage to the brain stem can be fatal and lead to a deadly coma?
Brain Stem Hemmorhage (HBP)
Name the 5 assessments for a Mental Status Exam
How can you test for Attn?
observe patient and how they orient themselves
How can you test memory?
Mem. encoding netowrk is damaged
How can you test language?
fluency, naming, repitition, reading
If a patient has no lexicon and sentence structure, where is the damage? What is this damage called?
left temporal parietal
How can you test visuospatial percept? Where would the damage be?
copy design -- R. Hemi
If a patient has damage in the R. Hemi and cannot copy a design..what condition would the patient have?
Graphethesia--exam) can recognize writing on skin (tactile)
How can you test for exec. fxn?
frontal release signs
sequential motor ability
Which cranial nerve has bilateral projections?
what is involved in coma?