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Peds Neuro

QuestionAnswer
Infant ICP Bulging fontanels, separated sutures, high-pitched cry, setting-sun eyes, distended scalp veins.
Children ICP Headache, vomiting, diplopia, irritability, personality changes, somnolence.
Late Signs of ICP Bradycardia, decreased LOC, pupil changes, papilledema, posturing, Cheyne-Stokes respirations.
Peds GCS Eyes, Verbal, Motor response. Score 15=normal, 3=worst. Key for assessing LOC.
Cereb Perfus Priority Airway management is primary. Cerebral hypoxia >4 hours causes irreversible brain damage.
Neuro Exam Vital signs, eyes (pupils), posturing, motor function, reflexes, skin.
Communicating HC Hydrocephalous: CSF flow not obstructed, but inadequately reabsorbed in subarachnoid space.
Noncommunicating HC Hydrocephalous :Obstruction of CSF flow from ventricles to subarachnoid space.
Shunt Func & Care Drains CSF to peritoneum/atrium. Monitor head circumference, signs of ICP/malfunction, infection.
SB Occulta Vertebral arch defect, no herniation. May have tuft of hair/dimpling. No loss of function.
Myelomeningocele Sac with meninges, CSF, spinal nerves. Close surgically in 12-72h. High risk for hydrocephalus.
SB Pre-op Care Position prone/side, cover sac with sterile saline dressing, prevent drying/infection.
Febrile Seizures Occurs with rapid temp increase >101.8°F (38.8°C), usually over before ED arrival.
Feb Seizure Manage Protect from injury, call 911 if >5 min. Avoid tepid baths; antipyretics not preventive.
Cerebral Palsy Non-progressive motor disorder of CNS, causing altered movement/posture. Cause is prenatal/perinatal injury.
CP Spastic Type Hypertonicity, scissoring of legs. Most common type. Involves pyramidal tract damage.
B Meningitis Infants Poor feed/suck, high-pitched cry, bulging fontanel, fever/hypothermia, poor tone.
B Meningitis Children Abrupt fever, headache, nuchal rigidity, vomiting, photophobia, irritability.
LP Bacterial v Viral Bacterial: Cloudy, high WBC/protein, low glucose. Viral: Clear, normal/slightly high WBC/protein.
Reye Syndrome Flare Linked to salicylate use (aspirin) during viral illness in kids <15. Causes brain/liver swelling.
Created by: Wasurenboh
 

 



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