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37 Cards in this Set
- Front
- Back
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CN I |
On, some Olfactory Sensory smell |
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CN II |
Old, Say Optic Sensory vision |
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CN III |
Olympus, Marry Oculomotor motor Most EOMs, pupil reponse |
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CN IV |
Tiny, Money Trochlear Motor move eyes down and in |
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CN V |
Tops, But Trigeminal Both chewing, sensation of face, etc |
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CN VI |
A, My Abducens Motor Lateral eye movement |
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CN VII |
Finn, Brother Facial Both move face, close mouth and eyes taste |
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CN VIII |
And, Says Acoustic Sensory hearing and equillibrium |
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CN IX |
German, Big Glossopharyngeal Both tongue, swallowing taste |
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CN X |
Viewed, Bras Vagus talking swallowing, general sensation from carotid body |
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CN XI |
Some, Matter Spinal accessory Motor shrug shoulders |
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CN XII |
Hops, Most Hypoglossal Motor moves the tongue |
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Most common headache |
Tension |
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Tension HA ss |
vise like, tight generalized back of head no neuro signs bilat |
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Tension HA tx |
OTC rest |
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Migraine HA cause |
dilation and excessive pulsation of branches of external carotid artery |
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Migraine HA types |
Classic - with aura common - without aura |
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CN for migraine HA |
CN V - trigeminal |
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Migraine HA symptoms |
Unilateral to lateralizing dull to throbbing builds gradually Nausea and vomiting photophobia phonophobia + neuro signs: |
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Migraine HA neuro signs |
visual: field defects luminous visual hallucinations (stars, sparks, zig-zags) aphasia numbness tingling clumsiness weakness |
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Migraine prophylactic |
if more than 2-3 times per month amitriptyline divalproex propranolol imipramine clonidine verapamil topiramate gaba methysergide magnesium |
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Migraine management |
rest ASA Sumitriptan (imitrex) |
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Cluster HA |
middle aged men very painful middle of the night ETOH |
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Cluster HA ss |
severe unilateral periorbital pain ipsilateral nasal congestion rhinorrhea eyeredness |
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Cluster HA tx |
imitrex O2 ergotamine |
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Sumatriptan for what headaches |
Migraine Cluster |
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TIA |
last less than 24 hours without residual if last >3 hours, may transition to stroke 1/3 pts with TIA with have stroke in 5 years |
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TIA cardioembolic causes |
a fib acute MI endocarditis valve disease |
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SS TIA |
altered vision (amaurosis fugax) speech motor impairment (contralateral) sensory deficits Cognitive and behavioral abnormalities dysphagia vertigo nystagmus |
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Amourosis fugax |
ipsilateral monocular blindness loss of vision of the eye on the side of the stroke |
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TIA classification: Bertbrobasilar |
inadequate blood flow from vertebral arteries Looks more neuro: vartigo ataxia dizziness visual field defect weakness confusion |
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TIA classification: Carotid |
Due to carotid stenosis aphasia dysarthria altered LOC weakness numbness |
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TIA management: |
ASA Clopridrogel (plavis) assess for HTN carotid endarterectomy (decreases risk of stroke in pts with recent TIA) |
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# 1 cause of heart failure |
HTN leads to TIA |
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Carotid endarterectomy indications |
>70-80% occlusion symptomatic patients ipsilateral eye changes contralateral motor changes |
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drug class migraine meds |
5-HT-1 antagonist sumatriptan don't use if cardiovascular disease, uncontrolled, HTN, etc |
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Stroke risk factors |
HTN A fib stimulants (cocaine) aneurysm |
