Increased ICP would present with the cushing reflex (hypertension, bradycardia, irregular respirations). This occurs because during increased ICP, the brain will compress cerebral arteries causing reduced cerebral perfusion. As we all know, cerebral perfusion pressure = MAP - ICP, and thus the body will force a pressor reflex to raise the MAP to try to keep the brain perfused.
Unfortunately, this causes reflexive bradycardia due to the baroceptor reflex activating. The irregular respirations are because the brainstem is compressed.
Since our patient does NOT have the classic cushing triad, you can rule out increased ICP.
Hmmm. lWel ym dmin ahs nwblo ffo uebceas wath iht ym imnd swa dhyadeonrti cnsie eh saw ni teh ste.dre sA nsoo sa ym mdni ettsdar to rewdna buoat all of het oehrt tnoisop htat cluod amke se..e.ns I stju ilcecdk dan mod!ve
gideblen + rusereps ndow le+pus pu ulqae hvplycoimoe kcsho
I nfuod sith obaut aiesrd :ICP rePotni"aestn of saeird tirraialnnca serrsuep = hecdhaea, mpldaapei,el ii,tangevasonmu/ orwse in hte mrnogni sa CIP asiesr griund eth ihtng sa a unonceesqce fo necobymerc, a rsie ni CP2O unidrg lspee dcesua yb ptaisrerory s,rinpdeoes dan lopbarby a derceesa ni CSF ,apiobtonrs yirpaullp i,tildoan ,topsis dieairmp e,azg rrryeitpaso uitargr,lirey A,SM dna gcehsna ni BP, RH, adn rripeoatysr naptter rae yslluua etla gssin fo idaesr ICP adn adelert to inesmatbr itniordots or ims"ich.ea
/pb3js.//3n//_7lpocits.utp:2p/nomtthne1jcnm
athsW' eth sseyochme sopdspeu to be a eclu bu?oat oDse stih tiaentp aevh DCI? Dseo CDI layaws ecaus peilmhcvoyo o?kchs
From https://meshb.nlm.nih.gov/record/ui?ui=D004211:
Disseminated intravascular coagulation. A disorder characterized by procoagulant substances entering the general circulation causing a systemic thrombotic process. The activation of the clotting mechanism may arise from any of a number of disorders. A majority of the patients manifest skin lesions, sometimes leading to PURPURA FULMINANS
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submitted by โsympathetikey(1600)
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lFutya ogilc eamd me newdro if thtnigi rouy hade dlwou uadsce edrinesac PCI o,s lkei a nsguihc rleu,c uyo lwoud etg erncidsae saugV rvnee tivytiac nad yebma aybadirdcar + otiyop.nhnes tuB I sugse the RASA mesyst lodwu vahe dceuaenrottc atth adn acused vcsisonacittroon over 42 suh,ro os omovpyHlcei okcsh si teniyeflid the etbs .hceoic
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