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BRAIN ABSCESS
introduction
• A brain abscess, also known as a cerebral
abscess or CNS abscess, is an abscess within
the brain tissue caused by inflammation and
collection of immune cells and infected
material originating from local or remote
infection sources.
• A brain abscess is a rare, life-threatening
infection of the brain.
• Local sources may include ear infections, a
dental abscess, infection of the paranasal
sinuses, or epidural abscess, while remote
sources may include infections in the lung,
heart or kidney.
definition
It is free or encapsulated collection
of infectious material of brain
parenchyma between dura and
archnoid lining.

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A stroke occurs when the blood supply to part of your brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. Within minutes, brain cells begin to die.

Head injury
Head injuryHead injury
Head injury

Head injuries can range from minor scalp lacerations to severe traumatic brain injuries. The document defines different types of head injuries including closed and open injuries, skull fractures, and brain injuries such as concussions, contusions, and intracranial hemorrhages. Treatment depends on the severity but may include managing increased intracranial pressure, antibiotics, anti-seizure medications, surgery, and supportive care including monitoring neurological status, maintaining hydration and oxygenation, and preventing complications.

Meningitis
MeningitisMeningitis
Meningitis

Meningitis is an inflammation of the meninges that surround the brain and spinal cord. It can be caused by viruses, bacteria, fungi or parasites. Common symptoms include fever, neck stiffness, vomiting and photophobia. Diagnosis involves examining cerebrospinal fluid through lumbar puncture. Treatment focuses on antibiotics, antivirals or antifungals as well as managing symptoms. Nursing care aims to enhance cerebral perfusion, reduce fever and pain, maintain fluid balance, and help the patient return to normal functioning.

meningitisnursingmedical surgical nursing
Types
1. intracranial subdural abscess
2.intracranial epidural abscess
3.spinal epidural infection/ abscess
4.intermedullary abscess
5.cerebritis
6.fungal brain abscess
causes
• Streptococcus, candida
• Chronic mastoiditis, sinusitis
• Head trauma, craniotomy
• Spinal injury, meningitis
• Immunosuppressed (HIV)
• M. tuberculosis
pathophysiology
Due to etilogical factor
That cross the blood brain barrier reaches to brain
Inflammation of parenchymal layer of brain
Cerebritis necrotic lesions(1)
Organism through the meningis or middle ear infection
Cause inflammation and purulant drainage between dura and
archnoid layer
Subdural abscess(2)
Any head trauma or sinusitis
Epidural abscess(3)
Causative agent may be from spinal injury
Cause spinal epidural abscess(4)
If bacteria reaches to lumbosacral region
Intermedullary abscess(5)

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Cerebral aneurysm
Cerebral aneurysmCerebral aneurysm
Cerebral aneurysm

Cerebral aneurysms are localized dilations of arteries in the brain. They can be saccular, fusiform, or dissecting in shape. The most common location is on arteries in the Circle of Willis. Risk factors include hypertension, smoking, and trauma. Symptoms may include sudden headache, nausea, vision changes, and seizures. Diagnosis is made through CT, MRI, or CT angiography. Treatment options are surgical clipping or endovascular coiling to prevent rupture and bleeding. Nursing management focuses on monitoring for complications and educating on risk factor modification.

aneurysmcerebral aneurysm
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A spinal tumor is an abnormal mass of tissue within or surrounding the spinal cord and/or spinal column.

Clinical feature
• Headache with purulent material collect in brain,
increase ICP
• Nausea , vomiting, otitis media
• Nucchal rigidity
• Kerning sign-inability to extend knees more than
135 degress
• , brudzinski sign-severe neck stiffness causes a
person hips and knees to flex when neck is flexed
• Behaviour changes
• Decrease sensory and motor functioning
• Aphasia , ataxia- impaired coordination
Diagnostic test
• Blood test - to determine whether there is an
infection. If results show elevated levels of white-
blood cells, there most probably is an infection.
• Chest X-ray - to determine whether the patient has a
lung infection.
Imaging scans:
• MRI (magnetic resonance imaging) scan - an MRI
machine uses a magnetic field and radio waves to
create detailed images of the inside of the body.
Unlike CT scanning or general x-ray studies, no
ionizing radiation is involved with an MRI. It is a
painless procedure
MRI
CT (computed tomography) scan -
In these imaging scans the abscess
will appear as one or more spots.
• CT-guided aspiration - this is a type of
needle biopsy. With the help of a CT
scan to guide him/her, the neurologist
inserts a needle into where the abscess is
and takes a sample of pus for analysis.
This will help determine what is causing
the abscess, and consequently, how to
treat it.

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Peripheral NeuropathyPeripheral Neuropathy
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Peripheral neuropathy is a disorder affecting motor, sensory or autonomic nerves outside of the central nervous system. There are two main types: mononeuropathy, which damages a single nerve, and polyneuropathy, which affects multiple nerves. Causes include diabetes, alcoholism, toxins, medications and genetic factors. Symptoms depend on the affected nerves and may include numbness, tingling, pain, muscle weakness and autonomic issues. Diagnosis involves examinations, tests and imaging. Treatment focuses on managing the underlying cause, pain relief medications, nerve stimulation, splinting and self-care techniques. Nursing care includes education, medication management, safety measures and physical therapy.

cerebrovascular accident
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cerebrovascular accident, commonly known as stroke is one of the most common health problems of the world. in the developing world, its increasing incidence is a matter of concern among the health workers across the globe. thus adequate knowledge about this medical condition is a must to deal with it effectively.

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basic anatomy, introduction, definition, classification, risk factor, causes, types, pathophysiology, sign and symptoms, diagnosis, medical management, nursing management, diet management.

studentsknowledge
BRAIN ABSCESS.pptx
Management
• Antibiotics
• Laminectomy of surgical drainage
• needle biopsy, under CT guidance may used
for drainage
• Antimicrobial therapy for streptococcus.
• Anti tuberculosis THERAPY if cause is tuberculi
• Corticosteroids for cerebral edema
• Anticonvulsants to manage seizures
Craniotomy - this is a surgical operation in
which an opening is made in the skull.
• The surgeon shaves a small area of scalp hair.
• A small piece of bone is removed in order to
gain access to the brain.
• Often with the a CT scanner for guidance, the
abscess is either drained of pus (aspiration), or
removed (excision).
• The bone is replaced.
• The skin is stitched
BRAIN ABSCESS.pptx

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spinal cord injury pptspinal cord injury ppt
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this slide contain introduction, definition, indication, types, risk factor, causes, pathophysiology, clinical manifestation , types, diagnostic evaluation, management - emergency, medical, nursing, treatment.

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Brain tumors
Brain tumorsBrain tumors
Brain tumors

Brain tumors are abnormal cell growths that develop in the brain and can be cancerous (malignant) or non-cancerous (benign). They are the second most common childhood cancer and symptoms depend on the tumor's location and size. Management may include surgery, radiation therapy, and chemotherapy to prevent complications from increased pressure on the skull. Nurses monitor patients for signs of increased intracranial pressure like headaches and vomiting and communicate any changes to doctors for timely intervention. The outlook depends on factors like tumor type, size, location, and how early treatment was initiated.

Seizures
SeizuresSeizures
Seizures

Seizures are episodes of abnormal motor, sensory, autonomic, or psychic activity (or a combination of these) resulting from sudden excessive discharge from cerebral neurons.

nursingneurological condition
Complications
• Brain abscess rupture into ventriclar space
causing increase severity of headache.
• Brain stem herniation
• Permanent neurologic deficit,
• Flaccid paralysis with sensory loss
• Intracranial temporal complications
Nursing DIAGNOSIS
• Headache related to brain abscess.
• Altered mental activity related to pressure on
brain nerve.
• Risk of infection related to seizures.
• Decreased sensory function related to brain
abscess.
• Altered activity level due to brain absces
BRAIN ABSCESS.pptx

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BRAIN ABSCESS.pptx

  • 2. introduction • A brain abscess, also known as a cerebral abscess or CNS abscess, is an abscess within the brain tissue caused by inflammation and collection of immune cells and infected material originating from local or remote infection sources.
  • 3. • A brain abscess is a rare, life-threatening infection of the brain. • Local sources may include ear infections, a dental abscess, infection of the paranasal sinuses, or epidural abscess, while remote sources may include infections in the lung, heart or kidney.
  • 4. definition It is free or encapsulated collection of infectious material of brain parenchyma between dura and archnoid lining.
  • 5. Types 1. intracranial subdural abscess 2.intracranial epidural abscess 3.spinal epidural infection/ abscess 4.intermedullary abscess 5.cerebritis 6.fungal brain abscess
  • 6. causes • Streptococcus, candida • Chronic mastoiditis, sinusitis • Head trauma, craniotomy • Spinal injury, meningitis • Immunosuppressed (HIV) • M. tuberculosis
  • 7. pathophysiology Due to etilogical factor That cross the blood brain barrier reaches to brain Inflammation of parenchymal layer of brain Cerebritis necrotic lesions(1) Organism through the meningis or middle ear infection Cause inflammation and purulant drainage between dura and archnoid layer Subdural abscess(2)
  • 8. Any head trauma or sinusitis Epidural abscess(3) Causative agent may be from spinal injury Cause spinal epidural abscess(4) If bacteria reaches to lumbosacral region Intermedullary abscess(5)
  • 9. Clinical feature • Headache with purulent material collect in brain, increase ICP • Nausea , vomiting, otitis media • Nucchal rigidity • Kerning sign-inability to extend knees more than 135 degress • , brudzinski sign-severe neck stiffness causes a person hips and knees to flex when neck is flexed • Behaviour changes • Decrease sensory and motor functioning • Aphasia , ataxia- impaired coordination
  • 10. Diagnostic test • Blood test - to determine whether there is an infection. If results show elevated levels of white- blood cells, there most probably is an infection. • Chest X-ray - to determine whether the patient has a lung infection. Imaging scans: • MRI (magnetic resonance imaging) scan - an MRI machine uses a magnetic field and radio waves to create detailed images of the inside of the body. Unlike CT scanning or general x-ray studies, no ionizing radiation is involved with an MRI. It is a painless procedure
  • 11. MRI
  • 12. CT (computed tomography) scan - In these imaging scans the abscess will appear as one or more spots. • CT-guided aspiration - this is a type of needle biopsy. With the help of a CT scan to guide him/her, the neurologist inserts a needle into where the abscess is and takes a sample of pus for analysis. This will help determine what is causing the abscess, and consequently, how to treat it.
  • 14. Management • Antibiotics • Laminectomy of surgical drainage • needle biopsy, under CT guidance may used for drainage • Antimicrobial therapy for streptococcus. • Anti tuberculosis THERAPY if cause is tuberculi • Corticosteroids for cerebral edema • Anticonvulsants to manage seizures
  • 15. Craniotomy - this is a surgical operation in which an opening is made in the skull. • The surgeon shaves a small area of scalp hair. • A small piece of bone is removed in order to gain access to the brain. • Often with the a CT scanner for guidance, the abscess is either drained of pus (aspiration), or removed (excision). • The bone is replaced. • The skin is stitched
  • 17. Complications • Brain abscess rupture into ventriclar space causing increase severity of headache. • Brain stem herniation • Permanent neurologic deficit, • Flaccid paralysis with sensory loss • Intracranial temporal complications
  • 18. Nursing DIAGNOSIS • Headache related to brain abscess. • Altered mental activity related to pressure on brain nerve. • Risk of infection related to seizures. • Decreased sensory function related to brain abscess. • Altered activity level due to brain absces