The vaginismus /The director and the secretary - jovanavcs

[ArchivalUser]

At one nice fathernoon the paramedics bring to the Er the "Catch Lover Duo " with an immediate diagnosis of "VAGINISMUS ".
The director who happend to be afemale was bretaing fast with R.R of 30 and as well as her young assistant.
The blood ases show a respiratory alkalosis due to hyperventilation and hypocapnia.While in ER both of them start to have a headache that was getting worst.
The responsible party for the headache is most probably ??
a.The Hyperventilation
b.The decrease of cerebral perfusion
c.The increase of cerebral blood flow
d.The hypercania

[ArchivalUser]

its b

[ArchivalUser]

b..

[ArchivalUser]

decrease in arterial pco2 reduces the blood supply to the brain

[ArchivalUser]

hypocapnia will caus edecrease in cerebral perfusion bbbbbbbbbbbbbbb

[ArchivalUser]

I think is C

hypocapnia less than 30 increase Blood flow
in this case headache is secundary to intracranial pressure increased.

[ArchivalUser]

Hyperventilation

[ArchivalUser]

ok the concept here was for the hyperventilation , so if count the seconds can be to increase ICP, but in this cas eis bbbbbbbb