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Enlargement Asymmetry Irregular shape (oval) Decrease in reactivity Change from preresuscitation Decrease of 1 point on GCS New focal deficit Abrupt decrease Transient Progressive decrease POTENTIAL MEANING Pulmonary edema or pneumonitis Each may indicate elevated ICP with transtentorial herniation Often indicates increased ICP Increased mass effect New hemorrhage Recurrent hemorrhage Increased ICP Seizures Hypotension Seizures Hypoxia Rehemorrhage Brain stem involvement Septicemia Electrolyte imbalance Vasospasm Hydrocephalus 2181 TABLE 490-3 -- INTENSIVE CARE UNIT MANAGEMENT OF Tidk HEAD INJURY AND INTRACRANIAL HYPERTENSION 1.Egg- leston JC (1980) Anaplastic variants of medullary thyroid carcinoma: a light-microscopic and immunohistochemi- cal study.
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