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Clerkship - Altered Neurological Status

CLERKSHIP LEARNING OBJECTIVES

  • Describe the physiology of intracerebral pressure (ICP) and cerebral perfusion pressure (CPP), including the effects of blood pressure, ventilatory status, and fluid balance on ICP and CPP.
  • Recognize the Cushing reflex and its clinical importance (brain herniation).
  • Describe the signs, etiology and treatment of intracranial hemorrhage (subarachnoid hemorrhage and intracerebral hemorrhage).
  • Describe the relative incidence and location of the most common brain tumors, their clinical manifestations, their diagnosis, and general treatment strategies.
  • Differentiate TIA, RIND, and CVA.
  • Describe the presentation and management of hydrocephalus. Compare and contrast adult and pediatric hydrocephalus.
  • Students will understand the importance of early diagnosis and treatment in subarachnoid hemorrhage and epidural hematomas.
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