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10 Cards in this Set

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  • Back
A patient with Parkinson's is given levodopa & carbidopa together.

Why is carbidopa given in combination w/ levodopa?
Levodopa CAN cross the BBB and is converted to the active form of Dopamine w/ in the CSF by decarboxylase
Carbidopa can NOT cross the blood brain barrier but it does prevent peripheral decarboxylase activity
Thus by preventing peripheral decarboxylase activity it prevents the activation of Levodopa in peripheral tissue
Thus reducing the likelihood of arrhythmias due to excessive dopamine
If a patient is described as having increased levels of dopamine, which mental disorder would you suspect?
Tourette's or Schizophrenia
If a patient is described as having decreased levels of ACh, which mental disorder would you suspect?
Alzheimer's
If a patient is described as having decreased levels of GABA & ACh, which mental disorder would you suspect?
Huntington's
If a patient is described as having increased levels of NE but decreased levels of GABA & Serotonin, which mental disorder would you suspect?
Anziety
What is the DOC for Tourette's?
Haloperidol
If a Tourette's patient overdosed on his medication, what would be the proper antidote?
Dantrolene

Tourette's DOC is Haloperidol

Dantrolene works by activating dopamine receptors
An alcoholic patient presents w/ insomnia, anxiety, and tremors.
His condition begins to worsen and he develops tactile hallucinations.

What would be the appropriate treatment?
Diazepam

Diazepam is a long-acting Benzo

May also be treated w/ Clonidine or Propranolol
A 4 year old patient is brought to the ER by his mother.
The pt has a 2 day history of fever and a right swollen eyelid.
On exam you note that the right eyelid is swollen w/ proptosis and pain on ocular movement.

What is your diagnosis?
Orbital Cellulitis

This is a medical emergency

Buzz words: Proptosis & pain on ocular movement
What is the difference between a Classic Migraine & a Common Migraine?
Classic Migraine:
Migraine headache preceded by an aura

Common Migraine:
Migraine headache without an aura