CEREBROVASCULAR

ACCIDENT
 PRECIPITATING
FACTORS:
Hypertension
Heart disease
PRE DISPOSING Hyperlipidemia
FACTORS: Diabetes
Age: 55 years old Smoking
and above Polycythemia
Gender: Male Obesity
Race: African Sedentary lifestyle
Americans Sleep apnea

ISCHEMIA

ENERGY FAILURE

ACIDOSIS ION IMBALANCE

 ACIDOSIS ION IMBALANCE

INTRACELLULAR DEPOLARIZATION
CALCIUM INCREASE
INCREASED
GLUTAMATE

CELL MEMBRANE AND PROTEINS

BREAKDWN FORMATION OF FREE
RADICALS PROTEIN PRODUCTION
DECREASED

CELL INJURY AND DEATH

RIGHT HEMISPHERIC LEFT HEMISPHERIC

STROKE STROKE
 CELL INJURY AND DEATH

RIGHT HEMISPHERIC LEFT HEMISPHERIC

STROKE STROKE

- Paralysis or weakness - Paralysis or weakness

of the left side of the of the right side of the
body body
- Left visual deficit - Right visual deficit
- Spatial-perceptual - Aphasia
deficits - Altered intellectual
- Increased ability
distractibility - Slow cautious behavior
- Impulse behavior and
poor judgement
- Lack of awareness
deficit
INTERTROCHANTERIC
FRACTURE
 PRECIPITATING
FACTORS:
Smoking
PRE DISPOSING Alcoholism
FACTORS: Low body weight
Personal History of Vitamin A excess
fracture as an adult Low bone density
Gender Recurrent falls

TRAUMA

BONE BREAKAGE

DEATH OF BONE

BLEEDING TYPICALLY OCCURS AROUND

THE SITE AND INTO THE SOFT TISSUES
SURROUNDING THE BONE
BLEEDING TYPICALLY OCCURS AROUND
THE SITE AND INTO THE SOFT TISSUES
SURROUNDING THE BONE

INTENSE INFLAMMATION
REACTION

VASODILATION

INCREASED BLOOD FLOW

TO THE AREA OF INJURY

LEUKOCYTES AND MAST

CELLS ACCUMULATE

PHAGOCYTOSIS AND
REMOVAL OF DEAD CELL
DEBRIS
 PHAGOCYTOSIS AND
REMOVAL OF DEAD CELL
DEBRIS

INTENSE INFLAMMATION
REACTION

A FRIBRIN CLOT FORMS AT THE BREAK

AND ACTS AS A NEW NETWORK TO
WHICH NEW CELLS CAN ADHERE

DISRUPTION IN
FRACTURE HEMATOMA

FIXATION OR PROPER BONE ALIGNMENT

IS NEEDED TO FACILITATE
BONE HEALING

OPEN REDUCTION INTERNAL

FIXATION ANGLE PLATING FEMUR