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nazmul nazmul
wrote...
Posts: 9
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10 years ago
Colleen falls down while mountain climbing and in the process bumps her head several times. Shortly after her fall she starts to experience headaches and blurred vision. Diagnostic tests at the hospital reveal an epidural hematoma (blood clot) in the temporo-parietal area that is expanding downward to press against the brain stem. For a few days Colleen remains unresponsive but is still alive. Eventually, she undergoes surgery which corrects the problem Explain what must have happened and why Colleen was able to survive her accident.( Hint: artery vs vein; functions of different parts of the brain)
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wrote...
10 years ago
i'm not a nursing student or anything but here's my take:

epidural hematomas arise from damage to the arterioles of the brain. subdural hematomas are damages to the veins...since she had an epidural hematoma, that means that she ruptured one of the arterioles in her head and is experiencing high pressure internal bleeding ....since she was mountain climbing, she was probably wearing a helmet and that's what probably allowed her to live.
wrote...
10 years ago
The reason she was able to survive is that you brain uses a mechanism called Monro-Kellie Hypotheis -  an increased volume in any one component (Blood, brain, CSF) the volume of the others must decrease to maintain normal pressures. Compensation done by displacing or shifting CSF, increasing it’s absorption, or a decrease cerebral blood volume.
jhoffffff
wrote...
10 years ago
The reason she was able to survive is that you brain uses a mechanism called Monro-Kellie Hypotheis -  an increased volume in any one component (Blood, brain, CSF) the volume of the others must decrease to maintain normal pressures. Compensation done by displacing or shifting CSF, increasing it’s absorption, or a decrease cerebral blood volume.


i haven't taken neurology, but doesn't that theory just apply to a gain in volume? in this situation, she is losing blood because of ruptured arterioles.....
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