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.
.mmmH lelW my mdni hsa nlobw fof eubesca wtah iht ym indm wsa aoydidthenr iesnc he swa ni eth rdest.e sA snoo as my imdn setdtar ot ewadnr botua all fo eht hetor tspooni thta uoldc maek .nese.s. I stuj elckcdi nad demov!
delniegb + erpuessr nowd e+lusp up aeqlu oilpoevcymh skcho
I onfdu tihs oatub ediasr P:CI "anintseePtro of reiads inrrnaiacalt rusreesp = hea,dehca mllpeapi,dea mi,/tanevuoinasg esorw ni hte mnonirg sa PIC saiser gdriun teh ntgih sa a ucoceeensqn fo mrcynbeoe,c a esri in OCP2 ugrdni eslpe uescda by aterirorpsy drneioss,ep dan bopbalyr a csereaed ni CSF oriapnbos,t yllpuapir nt,odilia stpo,is pieiardm az,eg tiryorparse rriart,ueliyg ,MAS adn ahnsgec in ,PB H,R nda psrrrteiyao patnert rea uasyull atle ngiss of eisard PCI and etlader to mitaersnb dirottiosn or mhei"sac.i
tbl3h2sp/t/3.7ce1nnpos.pmj//:n/tpjcm/uinot_
'hstWa hte ohmescyse epuspdos to eb a lcue otau?b sDeo iths titepna avhe ICD? soeD IDC swylaa eausc ehoyvclipmo ks?ohc
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.
submitted by ∗sympathetikey(1600)
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$279$49Mad ta efmlys rof hangcgin ym arnwes.
ulFyat locig made em ewrodn fi nitthig oryu dahe owldu caudse iaerescdn ICP ,os ekil a uigchns eurl,c yuo wodlu etg eerdiscna Vguas evren icvtiayt dan abeym radcidaybra + ypthin.nooes tuB I ugses eht AASR stsyme uolwd eahv codcenaurtte ttah nda ucasde oritoatnvicscnso reov 24 ruhso, so ivloymocpeH cshok si yieenitfld the bset eocch.i
wyAlas odsuhl og twih teh ovibuso rwnesa :)
$279$49