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Intracranial1b - COMPARING EARLY AND LATE SIGNS OF INCREASED ICP

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thararat's version from 2016-11-02 14:09

Section

Question Answer
L.O.C early signsRestless, lethargy, disorientation
L.O.C late signsComa
Headache early signsMay, may not be present
Headache late signsIncreasing pain or unconscious
Pupils early signDilated on same side of brain lesion, sluggish reaction
Pupils late signDilated and fixed bilaterally. Can be sign of increased ICP and impending tentorial herriation or generalized anoxia
Motor function early signsHemiplegia or pareses on opposite side of brain lesion
Motor function late signsDecorticate, decerebrate or flaccid
Vital signs early signT.P.R. and BP stable
Vital signs late signCushing’s Triad (increased systolic BP with widening pulse pressure, bradycardia, altered respirations) elevated temp
Visual early signBlurring, decreased visual activity, diplopia
Visual late signNot able to assess
Vomiting early signNone
Vomiting late signMay, may not be present. Projectile vomiting without nausea
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