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.
mmm.H Wlel ym mnid sah bwnol fof eabusec awth iht ym dmin wsa ddryhiaoent icens he asw in the tre.sed As oons as ym imdn attdsre ot enrdaw tbuao lla of eth ehrot iptnoos ahtt oludc meka ense.s.. I jtus clceikd dna ovdme!
ielgbedn + seurrpse donw ups+el pu aelqu yoliophvcme cksoh
I dfoun hist abuto adesri C:IP ri"anesPtneto fo diares cnriiantlara euperssr = aadheeh,c depl,ilaempa enuaigoan,tsvi/m wsero in teh gnrinmo sa PIC sersia ngduri eht tignh as a neonuecsqec of ,nbroyecemc a eisr ni OP2C dnirgu peles cdseua by iyrpeoarstr deier,snsop dna obbrylap a asreceed in FCS ,bsrpoinato lpaiyrlup dnlaio,ti sp,tosi ediirmap ,azge rpiertaryso ela,tigruriry ,SAM dan ecsanhg ni BP, RH, dan oestyaprirr epantrt rae sluuyla ltea nssig fo rsdiea ICP nda rteedal to nrtabimse siiortndto ro ea.iicsm"h
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t'haWs teh mhsceesyo opdsespu ot be a lecu abo?ut Deso hits etiantp ahve CDI? eDso IDC wsalay cause cvoieypmhol shc?ko
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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atuyFl lgoic daem em reownd fi gitntih ruyo deha louwd caudes ascenider CPI o,s keli a hgisnuc eul,rc oyu duowl gte eseicnrad gaVsu nveer viytitca dan ybmae iayrabddacr + syne.noohitp But I ugsse hte RSAA meytss douwl ahev acetnuetordc ttah and edcsau sisncocnrtiaotvo vero 42 uhso,r os mvioHpycole shcko si efiyndltei teh bste echc.oi
wyasAl hdoslu og with hte ibvsoou wnreas :)
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