Mr. F and Mrs. H present to the emergency department (ED) with head injuries. Mr. F, age 25, has just been in a motor vehicle accident and has a temporal lobe injury. The doctor is questioning the Mr. F to determine if he experienced a coup, contrecoup injury or both.
If Mr. F hit the side of his head on the door window and then his head snapped back to the its starting position, define a coup and countercoup injuries and determine what lobes would Mr. F experience a coup and/or the contrecoup injuries?
Answer: A coup injury occurs under the site of impact with an object, and a contrecoup injury occurs on the side opposite the area that was hit. Coup and contrecoup injuries are associated with cerebral contusions, a type of traumatic brain injury in which the brain is bruised. In head injury, a coup injury occurs under the site of impact with an object, and a contrecoup injury occurs on the side opposite the area that was hit. Coup and contrecoup injuries are associated with cerebral contusions, a type of traumatic brain injury in which the brain is bruised.
Mr.F may experience traumatic pressure, along with the vibration. Sometimes loss of consciousness gets lost for a while. A headache followed by nausea may occur.
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