Neurologic Diseases Case Study Analysis


Neurologic Diseases Case Study Analysis

Don't use plagiarized sources. Get Your Custom Essay on
Neurologic Diseases Case Study Analysis
Just from $9/Page
Order Essay


Case study 1

Two individuals come to the emergency department with head injuries. One, 25 years old, has just been in a motor vehicle accident (MVA) and has a temporal lobe injury. The other, 65 years old, has increasing confusion after a fall that happened earlier in the week.

  1. a) Differentiate thepathophysiologyofextraduralhematomaandsubduralhematoma.

A hematoma is a collection of blood outside a blood vessel. An extradural hematoma occurs when a blood vessel is injured, and blood accumulates in the extradural space between the dura and the skull. It is mostly caused by a blunt force head trauma that results in a linear skull fracture with minimal or no displacement. In most cases, the hemorrhage is a result of laceration or rupture of the middle meningeal artery. The accumulated blood does not cross the suture lines as there is a tight adherence of the dura to the calvarium. The high pressure from the arterial blood causes the dura matter to separate from the skull, creating a hematoma with an elliptical appearance. At the time of injury, the patient can have a momentary loss of consciousness followed by an interval of apparent recovery, known as a lucid interval. With continued bleeding and blood accumulation, the patient gets a severe headache and their mental status declines due to intracranial pressure rise (Hinkle & Cheever, 2018).

A subdural hematoma, on the other hand, is a collection of blood between the dura and the brain, a space that is normally occupied by a thin cushion of fluid. It is mostly venous in origin and occurs after the small blood vessels that bridge the subdural space rupture. High-speed impact to the skull, which may be caused by sudden changes in velocity is the most common mechanism that leads to the development of subdural hematomas. Subdural hematomas can also result from coagulopathies, trauma, or rapture of an aneurysm, that causes tearing of bridging veins leading to venous blood accumulation in the subdural space. It crosses suture lines and has a crescent shape appearance (Hinkle & Cheever, 2018).

  1. b) Identify the patient in the above scenario requiring immediate emergency surgical intervention and provide a rationale for your choice.

The patient requiring immediate surgical intervention is the sixty-five-year-old patient with increasing confusion after a fall. The increasing confusion implies that the patient may be having a hematoma that is gradually increasing in size. Emergency surgical intervention is needed to decrease the intracranial pressure, remove the clot and control the bleeding. It will manage the patients confusion and prevent exacerbation of the patients condition (Dash & Chavali, 2018).

Case study 2

A 38-year-old was driving his 1970 Chevy Corvette to a Milwaukee Brewers baseball game when a deer jumped out in front of him on the highway. He swerved his car and hit a telephone pole instead. His head hit the windshield, and he suffered severe head trauma.

  1. a) Describe the most likely specific type of head injury he suffered.

The patient most likely suffered a contusion. A contusion is a type of closed head injury. It is a severe injury in which the brain is bruised, with possible surface hemorrhage from small blood vessels leaking into the brain tissue. A contusion typically results from a direct impact on the head. The brain strikes a ridge in the skull when the head moves suddenly or hits a solid object with great force. For instance, in a car accident, a contusion can result when the driver hits their head on fixed objects, like the windscreen, windows, or the steering wheel (Fernandes et al., 2018). Signs and symptoms of a cerebral contusion are unconsciousness, faint pulse, shallow respirations, cool pale skin, dizziness, severe headache, nausea and vomiting, confusion, drowsiness, restlessness, irritability, memory loss, dilated pupils, and difficult balancing or coordination (Hinkle & Cheever, 2018).

  1. b) Outline the treatment plan for this patient.

Several investigations should be done to guide the patients treatment. A Glasgow Coma Scale score should be done to assess the severity of the brain injury. Imaging tests are done to establish the location, type, and extend of the injury. They include a head computerized tomography (CT) scan that provides a detailed view of the brain and surrounding structures, visualizing any fractures, brain tissue swelling, hemorrhage, or hematomas. Magnetic resonance imaging (MRI) can also be done to create a detailed view of the brain. An intracranial pressure monitor can be used to monitor the patients intracranial pressure (Vella et al., 2017).

A blood sample should be taken for arterial blood gas analysis. The blood pressure, carbon dioxide, and oxygen levels should be kept at desirable levels to avoid secondary brain injury. The patient can be given supplemental oxygen through a face mask or mechanical ventilation. The patients level of consciousness should be monitored to establish the patients prognosis. Analgesics like opioids are given to relieve the patient of pain. Sedation may be done to reduce muscle activity, mitigate response to pain and prevent an increase in intracranial pressure. If the patient has a fever, antipyretics are given. Anticonvulsants like phenytoin are administered if seizures occur. Osmotic diuretics like mannitol are given intravenously to lower intracranial pressure and maintain serum osmolality. Other diuretics like furosemide can be used. Emergency surgery should be done to stop any bleeding in the brain, remove any hematomas, and lower intracranial pressure. It minimizes additional damage to the brain tissues. The patient may require close monitoring in an intensive care unit (Dash & Chavali, 2018).


Dash, H. H., & Chavali, S. (2018). Management of traumatic brain injury patients.Korean Journal of anesthesiology,71(1), 12. doi:

Fernandes, F. A., de Sousa, R. J. A., & Ptak, M. (2018).Head injury simulation in road traffic accidents. Cham: Springer International Publishing.

Hinkle, J. L., & Cheever, K. H. (2018).Brunner and Suddarths textbook of medical-surgical nursing. Wolters kluwer india Pvt Ltd.

Vella, M. A., Crandall, M. L., & Patel, M. B. (2017). Acute management of traumatic brain injury.Surgical Clinics,97(5), 1015-1030.


Are you in need of assignment help?

Are you a high school, college, or university student pursuing a diploma, bachelors, master’s, or Ph.D. degree? Sometimes, assignments and life can overwhelm you.

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

That is where we step in. Whichever your reason may is, it is valid! With our student assignment help service, you can submit all your assignment on time and score superb grades. You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Our academic writers are graduates with bachelor’s, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an academic writer with our assignment help service is to have a college bachelors degree. When assigning your order, we match the paper subject with the writers area of specialization.

What subjects does your online assignment help service help with?

We offer student assignment help on various subjects. These include:

  • Nursing
  • Psychology
  • Sociology
  • Business
  • Statistics
  • Finance
  • Literature
  • Law
  • Finance
  • Computer science

Why should you use our assignment help service?

  • You get unique plagiarism-free papers
  • We ensure timely delivery of all assignments
  • Papers are of unmatchable quality
  • We can handle assignments of any deadline
  • We have a pool of skilled, experienced native English writers
  • The minimum requirement to be a writer with our company is to have a bachelors degree
  • Writers go through rigorous tests and mentorship
  • You get a subject-relevant academic writer
  • We ensure strict adherence to paper instructions
  • We can handle tackle bulk assignments
  • We charge fair and reasonable prices
  • We offer awesome discounts to our clients
  • Our customer support is available 24/7
  • You get superb grades consistently
  • We guarantee 100% privacy and confidentiality
  • We are 100% legit
  • Customer satisfaction is our core priority
  • You can communicate directly with the writer
  • Our quality assurance department ensures your papers quality is top-notch
  • We have secure payment methods

How does our student assignment help service work?

1. Place an order

You fill all the paper instructions in the order form. Make sure you include all helpful materials so that our academic writers can deliver a perfect paper. It will also help to avoid unnecessary revisions. At this point, you can attach files that are provided for the assignment. We usually insist a lot on the client uploading the grading rubric if it is available. The writers adhere to the highest level of the rubric to ensure that you get a perfect grade.

2. Pay for the order

Proceed to securely pay for the paper so that we can assign the paper to one of our expert academic writers. The paper subject is matched with the writers area of specialization.

3. Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer.

4. Download the paper

The paper is uploaded to your personal account and sent to your email. You also get a plagiarism report attached to your paper.

Get Professional Assignment Help Cheaply

Buy Custom Essay

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Why Choose Our Academic Writing Service?

  • Plagiarism free papers
  • Timely delivery
  • Any deadline
  • Skilled, Experienced Native English Writers
  • Subject-relevant academic writer
  • Adherence to paper instructions
  • Ability to tackle bulk assignments
  • Reasonable prices
  • 24/7 Customer Support
  • Get superb grades consistently

Online Academic Help With Different Subjects


Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.


Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.

Computer science

Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!


While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.


Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.


In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.


Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.


We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!


We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.


Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.

What discipline/subjects do you deal in?

We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.

Are your writers competent enough to handle my paper?

Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.

What if I don’t like the paper?

There is a very low likelihood that you won’t like the paper.

Reasons being:

  • When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
  • We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.

In the event that you don’t like your paper:

  • The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
  • We will have a different writer write the paper from scratch.
  • Last resort, if the above does not work, we will refund your money.

Will the professor find out I didn’t write the paper myself?

Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.

What if the paper is plagiarized?

We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.

When will I get my paper?

You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.

Will anyone find out that I used your services?

We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.

How our Assignment  Help Service Works

1.      Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2.      Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3.      Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.

4.      Download the paper

The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.

smile and order essaysmile and order essay PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

order custom essay paper

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
error: Content is protected !!
Open chat
Need assignment help? You can contact our live agent via WhatsApp using +1 718 717 2861

Feel free to ask questions, clarifications, or discounts available when placing an order.
  +1 718 717 2861           + 44 161 818 7126           [email protected]
  +1 718 717 2861         [email protected]