era ormung. ATSO, she was noted to have meningismus on examina puncture was perf

Question

era ormung. ATSO, she was noted to have meningismus on examina puncture was performed to R/O possible rebleed. At the time of the lumbar puncture, CSF in read as consistent with recurrent subarachnoid hemorrhage. A repeat MRI was performed wi of an aneurysm. Procedure: On 7/9/xx, the patient underwent repeat MRI, which again showed no deemed stable for discharge on 7/10/xx. aneurysm. Activity: The patient was instructed to avoid any type of activity that could result in raised press head. The patient was advised that she should undergo no activity more vigorous than walking Define the following terms Aneurysm Cerebral MRI View as K. ption common

Explanation / Answer

define following terms:

A lumbar puncture (also called a spinal tap) is a procedure to collect and look at the fluid (cerebrospinal fluid, or CSF) surrounding the brain and spinal cord.

During a lumbar puncture, a needle is carefully inserted into the spinal canal low in the back (lumbar area). Samples of CSF are collected. The samples are studied for color, blood cell counts, protein, glucose, and other substances.

meningismus. plural meningismi :a state of meningeal irritation with symptoms suggesting meningitis that often occurs at the onset of acute febrile diseases especially in children.

1.

mainly patient suffer from severe headache, which is more intense at the base of the skull. It is often described as the worst headache people have ever experienced. Some people may even feel a popping sensation in their head before the hemorrhage begins.

You may also have:

2. Approximately 10-30% of patients with subarachnoid hemorrhage die before reaching medical attention. Computed tomography (CT) scanning without intravenous contrast enhancement is the preferred initial diagnostic study, with cerebral angiography the next procedure of choice

3. An LP is most commonly performed to obtain a sample of the fluid that surrounds the brain and spinal cord. Examination of the fluid can be crucial in diagnosing diseases such as meningitis, neurologic diseases, or effects of systemic disease on the brain and spinal fluid.

The spinal fluid samples are sent to a laboratory for analysis. Lab technicians check for a number of things when examining spinal fluid, including:

4. risk of brain deposits from repeated use of certain contrast agents used during MRI tests. MRI does not involve any radiation. If contrast is used, then side effects of contrast can occur but Repeated MRI has not effect on body. No side effects untill Gadolium contrast is used

5. Common problems faced by patients following brain injury include physical limitations and difficulties with thinking and memory. Some of these deficits may disappear over time with healing and therapy. The recovery process is long, and it may take weeks, months, or years to understand the level of deficits incurred and for the patient to regain function.

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