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32 Cards in this Set
- Front
- Back
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What is menegenitis? |
An inflammation of the pia matter, arachnoid, CSF filled subarachnoid space |
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two types of meningitis |
Septic- bacteria cause Aseptic- caused by viral |
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Manifestations of meningitis |
photophobia, Fever 101, confusion, personality change(agitated), +Kernigs sign, +Brudenski' sign, stiff neck |
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nuchal rigidity |
Neck stiffness. Classic for meningitis |
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Brudezinski's Sign |
when patients neck is flexed= flexion of the hips and knees. Also when one lower extremity is passively flexed the other will show similar movement. |
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Menegenitits can give someone photophobia True or False |
True they can be sensitive to light. |
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Positive Kernig's sign |
When patient is lying with thigh flexed on the abdomen and the leg cannot be completely extended. |
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What is a brain abscess? |
Bacteria in the brain. Common with tongue piercing increased risk in immunocompromised check for ICP
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Encephalitits |
inflammation of brain tissue related to virus Most common causing virus is herpes. others: westnile, St.Louis |
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Why would you give someone dexamethasone if they have meningitis? |
steroid give it 15-20min before antibiotics and they will have better outcomes with the drug. and usually will be Q6 for 24hr |
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A person was bit by a mosquito and now has a rash, flaccid paralysis and parkinson like movements. What is the concern? |
These are all manifestations of Vector borne Encephalitis |
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common antiviral drugs |
acyclovir for herpes ampotericen B for all else |
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Creutzfeldt Jakob Disease? |
Ingestion of infected beef leads to swiss cheese brain. confirmed with brain biopsy. |
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Multiple Sclerosis? |
immune mediated progressive DEMYELINATING DISEASE of the CNS (brain& Spinal cord) Need MRI q6 months to check progression check CSF also |
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Myasthenia Gravis is an upper motor neuron disorder? True or False |
False MS is an upper motor neuron MG is a lower motor neuron disorder |
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Manifestation of MS? |
varies by PT may not know if someone has it no presenting signs s/s:Fatigue, numbness, Pain, visual disturbances, loss of balance, diff. coordination, heat intolerance=fatigue, speech. |
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MS is relapsing and remitting? True or False |
80% is relapsing and remitting True symptoms may come and go |
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MS is regenerating? |
No it is not |
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GB |
autoimmune attack on the peripheral nerve myelin |
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Myasthenia Gravis |
Autoimmune disorder that affects the mineral junction. Muscle is not getting stimulated properly b/c acetlcholine is being blocked at the recepetor site
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Manifestations of MG |
vision changes (diplopia (double vision), Ptosis(droopy eyes)) Weakness of facial muscles, impaired swallowing(dysphagia), impaired voice (dysphonia) |
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treatment for MG |
Mestinon stimulates the muscles |
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Myasthenic crisis |
not enough reception of ACH will cause Resp weakness ( vent) and muscle weakness |
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cholinergic crisis |
to much ACH causes muscle weakness respiratory weakness |
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what medications do you want to avoid with myasthenia crisis? |
sedative/tranqulizer drugs as it can aggravate the hypoxia that PT has |
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Guillain Barre Syndrome |
Attack on the peripheral nerve myelin Can be regenerative Scwahn cells Most often Follows a VIRAL INFECTION
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GB s/s |
cranial nerve symptoms, tachy-brady, HTn-Hypo Weakness, paralysis, pain, parasthesias, bad reflexes, affects the lower extremities
change in VS is in the plateau phase of the disorder |
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what is the biggest complication of GB? |
Respiratory support |
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how much fiber should have to prevent constipation |
35grams |
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Trigeminal Neuralgia |
5th cranial nerve off/on pain vascular compression on the nerve occurs in women age 50-60 and MS may avoid eating brushing teeth to avoid pain Know your triggers!!!!! |
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Bells' Palsy |
cranial nerve 7 droop on one side of face easily noticed muscle weakness, paralysis, lots of tears diff. speaking&eating PROMOTE FACIAL EXERCISES TO MAINTAIN TONE |
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Tegretol side effect |
Very dizzy used to treat trigeminal neuralgia |
