Tessie: Traumatic Brain Injury

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Tessie is suffering from a severe (GCS 3) traumatic brain injury (traumatic brain injury classification using the Glasgow Coma Scale score (GCS) as mild (GCS 13-15), moderate (GCS 9-12) and severe (GCS 3-8) (Teasdale & Jennett, 1974). Traumatic brain injury can be divided into two groups; primary such as focal hematomas, contusions, or diffuse injury and secondary such as hypoxia, hypo- or hypercarbia, hypotension, hyperthermia, and hypo- or hyperglycemia. Anisocoria (unequal pupil sizes) due to severe head injuries is a critical sign of an uneven increased pressure in the brain (due to herniation). Since the blood can't escape and the skull can’t expand in adults, increased pressure in the brain would compress the nerves and also would decrease

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