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(Added WP link for "decompressive craniectomy")
(Revert good faith edit. None of that material was mentioned in the film nor have those phrases been used in Star Trek canon)
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A '''fundoscopic examination''' was a type of [[medicine|medical test]] conducted on [[Earth]] in the [[20th century]]. It was used in cases of head injury to evaluate the extent of the damage and determine an appropriate remedy, if one existed. By the [[23rd century]], however, it was considered to be obsolete and ineffective in some cases.
 
A '''fundoscopic examination''' was a type of [[medicine|medical test]] conducted on [[Earth]] in the [[20th century]]. It was used in cases of head injury to evaluate the extent of the damage and determine an appropriate remedy, if one existed. By the [[23rd century]], however, it was considered to be obsolete and ineffective in some cases.
   
In [[1986]], [[Pavel Chekov]] was injured while back in time from the [[23rd century]] and left in the hands of 20th century doctors after being [[arrest]]ed as a [[Russian]] [[spy]]. Chekov had fallen from a deck of the {{USS|Enterprise|CVN-65}} and was suffering from slowing [[pulse]], low respiratory rate, and [[coma]]. The doctors of the time conducted a fundoscopic examination and concluded that the way to cure Chekov was "''a simple evacuation of the expanding [[epidural hematoma]]''" which would in turn relieve the pressure on Chekov's [[brain]] - in other words, a modern decompressive craniectomy ({{wikipedia| decompressive craniectomy}}) to treat an intracranial hematoma ({{wikipedia|intracranial hematoma}}), or perhaps increased intracranial pressure({{wikipedia|intracranial pressure}}) from some other cause.
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In [[1986]], [[Pavel Chekov]] was injured while back in time from the [[23rd century]] and left in the hands of 20th century doctors after being [[arrest]]ed as a [[Russian]] [[spy]]. Chekov had fallen from a deck of the {{USS|Enterprise|CVN-65}} and was suffering from slowing [[pulse]], low respiratory rate, and [[coma]]. The doctors of the time conducted a fundoscopic examination and concluded that the way to cure Chekov was "''a simple evacuation of the expanding [[epidural hematoma]]''" which would in turn relieve the pressure on Chekov's [[brain]].
   
 
Doctor [[Leonard McCoy]] was able to get to Chekov before surgery and stated that "''drilling holes in his head''" wasn't the answer and that the correct procedure was to repair Chekov's [[middle meningeal artery]]. Doctor McCoy quickly performed the procedure under the amazed gaze of the 20th century doctors and Chekov made a complete recovery. ({{film|4}})
 
Doctor [[Leonard McCoy]] was able to get to Chekov before surgery and stated that "''drilling holes in his head''" wasn't the answer and that the correct procedure was to repair Chekov's [[middle meningeal artery]]. Doctor McCoy quickly performed the procedure under the amazed gaze of the 20th century doctors and Chekov made a complete recovery. ({{film|4}})

Revision as of 19:54, 22 November 2013

A fundoscopic examination was a type of medical test conducted on Earth in the 20th century. It was used in cases of head injury to evaluate the extent of the damage and determine an appropriate remedy, if one existed. By the 23rd century, however, it was considered to be obsolete and ineffective in some cases.

In 1986, Pavel Chekov was injured while back in time from the 23rd century and left in the hands of 20th century doctors after being arrested as a Russian spy. Chekov had fallen from a deck of the USS Enterprise and was suffering from slowing pulse, low respiratory rate, and coma. The doctors of the time conducted a fundoscopic examination and concluded that the way to cure Chekov was "a simple evacuation of the expanding epidural hematoma" which would in turn relieve the pressure on Chekov's brain.

Doctor Leonard McCoy was able to get to Chekov before surgery and stated that "drilling holes in his head" wasn't the answer and that the correct procedure was to repair Chekov's middle meningeal artery. Doctor McCoy quickly performed the procedure under the amazed gaze of the 20th century doctors and Chekov made a complete recovery. (Star Trek IV: The Voyage Home)

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