https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7 en-us 2022-09-21 13:52:59 UTC 2022-09-21 14:20:44 UTC hello@padlet.com https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306899344 2022-09-21 13:55:14 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306899344 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306900435 A subdural hematoma is a type of intracranial hemorrhage between the dural and arachnoid membrane spaces following the rupture of bridging veins, leading to increased intracranial pressure ICP in the surrounding brain tissue]]> 2022-09-21 13:55:43 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306900435 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306901868 Procedure: remove the skull bone to drain the hematoma then replacing the skull plate in place.]]> 2022-09-21 13:56:20 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306901868 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306902033 When symptoms appear within 3 days of the bleeding]]> 2022-09-21 13:56:25 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306902033 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306902567 2022-09-21 13:56:40 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306902567 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306903026 Patients with acute posterior fossa SDH may present with vomiting, cranial nerve deficits, cerebellar symptoms, and a headache which are referable to the location of the SDH ]]> 2022-09-21 13:56:53 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306903026 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306904443 A computed tomography scan of the head is widely used for imaging acute head trauma due to its speed, simplicity, and widespread availability. CT imaging can provide information on the size of the hematoma, chronicity of the bleeding, midline shifting, and trapping of the ventricles]]> 2022-09-21 13:57:35 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306904443 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306905393 Based on the pathology of the brain during operation]]> 2022-09-21 13:57:41 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306905393 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306906475 ICP monitoring is recommended for all patients with a SDH. A ICP goal ≤22 mmHg is recommended ]]> 2022-09-21 13:58:13 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306906475 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306906804 Stigmatization, insufficient insurance coverage, inadequate care from HCPs due to inexperience]]> 2022-09-21 13:58:24 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306906804 christinadeligiannis https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306907318 Feminizing hormone therapy:
Development of female secondary sex characteristics & suppression/minimization of male secondary sex characteristics.
-17-beta estradiol (estrogen)
-Antiandrogens (ex. spironolactone)
-Progestins]]> 2022-09-21 13:58:38 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306907318 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306907453 Clinical signs of elevated ICP are headaches, respiratory depression, hypertension, depressed level of consciousness, and pupillary abnormalities which should be addressed with pharmacologic and surgical interventions ]]> 2022-09-21 13:58:42 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306907453 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306908688 Severe brain swelling]]> 2022-09-21 13:59:13 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306908688 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306909783 HCP education, non discriminatory policies, building trust through active changes, inclusive office practices]]> 2022-09-21 13:59:44 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306909783 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306909843 Patients with acute SDH can present with seizures or status epilepticus. Risk factors for acute SDH associated seizures include lower Glasgow coma scale score and the need for surgical evacuation with craniotomy

]]> 2022-09-21 13:59:46 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306909843 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306910592 Seizure prophylaxis should be administered to prevent the risks of seizures]]> 2022-09-21 14:00:10 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306910592 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306910999 -emotional distress
-poor mental health functioning 
-linked to major depression --> 4-7 times more likely than general population
-PTSD
-psychiatric symptoms (mood disorders & anxiety disorders)]]> 2022-09-21 14:00:21 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306910999 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306911624 A SDH can impair the patient’s mobility, causing a risk for a venous thromboembolism]]> 2022-09-21 14:00:41 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306911624 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306912572 Patients should be positioned with their head elevated above the heart to increase venous outflow]]> 2022-09-21 14:01:07 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306912572 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306916119 Animal studies have shown the following:
-Estrogen enhances cardiovascular performance by increasing CO as well as kidney and liver perfusion in the case of severe hemorrhage.
-Estrogen can lessen TBI-based loss of brain function
-ICP and CPP values improved with estrogen use]]> 2022-09-21 14:02:55 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306916119 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306919307 -important for clinicians to understand how population responds to such violence & their clinical needs
-safe environment (preferred name & pronouns, gender-neutral bathrooms)
-social support: connect with people who can normalize & validate their experiences (support groups)
-use inclusive language & paperwork
-address safety & self-care
-help clients learn to trust themselves
-advocate for transgender survivors of trauma at various systemic levels ]]> 2022-09-21 14:04:30 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306919307 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306920697 -Increase risk of DVT and PE due to use of estrogen
-Population at increased rates of anxiety and depression -> sx can worsen these symptoms -> can delay recovery

]]> 2022-09-21 14:05:17 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306920697 https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306925224 -s & s: hemorrhagic shock, abdominal pain, distension, LUQ abdominal pain, sometimes radiates to the left shoulder 
-major consequence: hemorrhage into the peritoneal cavity
-treatment: observation, angioembolization, sometimes surgical repair or splenectomy

]]> 2022-09-21 14:07:32 UTC https://padlet.com/christinadeligiannis/n8w8ldekba6o53s7/wish/2306925224