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6 Cards in this Set
- Front
- Back
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What nerves carry sympathetic fibers?
CN III and VII Cranial nerves IX and X Sacral roots S2-S4 Thoracic T1-L2 |
Thoracic T1-L2 |
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47 year old woman, difficulty swallowing, drooling saliva, hoarse voice. Decreased left vocal cord motility. Light headedness and syncope. Orthostatic hypertension. Tongue deviates off to the left when asked to protrude tongue.
Autonomic signs and symptom: Drooling Hypotension
What category of medication did the primary care physician prescribe to reduce her drooling symptoms? |
Cholinergic antagonist (anticholinergic) |
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What additional workup should have been requested at her first presentation? |
CT of head MRI of head ENT consult
Two symptoms above foramen magnum = tongue deviation to the left, ataxia |
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What is your anatomical diagnosis? Left laryngeal nerve Left lower brain stem Right motor area Left jugular foramen Left hypoglossal foramen |
Left lower brain stem Cerebellar symptoms => fasiculations in the tongue |
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67 year old man, drooped eyelid, left pupil smaller than right, lateral left hand feels numb, clumsiness controlling fingers of left hand, slight flushing and dryness of left face, 50 year pack history, chronic cough.
Where is the anatomical diagnosis? Midbrain lesion C8-T1 left nerve root lesion C8-T1 spinal cord lesion
What is the syndromic diagnosis? |
C8-T1 left nerve root lesion
Horner's syndrome
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What test would you order to clarify the etiology of this man's problem? |
Chest X-ray |
