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27 Cards in this Set
- Front
- Back
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CSF finding in bacterial meningitis?
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1000+ PMNs
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CSF finding in pseudotumor cerebri?
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Normal cell count
200+ mmHg pressure |
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CSF finding in cerebral hemorrhage?
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bloody fluid (RBCs)
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CSF finding in Guillan Barre?
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100+ mg/dL protein
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what type of nerve lesion is associated with fasciculations and fibrillations of muscle at rest?
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LMN
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what 2 diseases lead to slowed nerve conduction velocities?
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Guilliain Barre
MS |
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do you give heparin in a stroke?
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NO. especially if HTN in patient; rule out hemorrhagic stroke first
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what are 3 causes of stroke?
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1. ischemia from atherosclerosis
2. AFib and resultant clot formation and emboli to brain 3. septic emboli from endocarditis |
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what is a TIA? it's a precursor to what?
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focal neuro deficit lasting minutes to hours; resolves spontaneously and precursor to stroke
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what is a classic presentation of a TIA?
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- ipsilateral blindness (amaurosis fugax)
- unilateral hemiplegia - hemiparesis - weakness - clumsiness |
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what do you do in the setting of a TIA?
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- duplex u/s to look for stenosis
- give heparin acutely (IF not contraindicated) |
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long term tx for TIA?
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- aspirin or other antiplatelet drugs (clopidogrel)
- carotid endarterectomy |
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decreased or no reflexes or fasciculations: neuro lesion?
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LMN
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hyperreflexia: neuro lesion?
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UMN
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apathy, inattention, uninhibited/labile affect: neuro lesion?
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frontal lobes
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Broca's (motor) aphasia: neuro lesion?
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dominant frontal lobe
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Wernicke's (sensory) aphasia: neuro lesion?
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dominant temporal lobe
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memory impairment, aggression, hypersexuality: neuro lesion?
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temporal lobes
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inability to read, write, name, or do math: neuro lesion?
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dominant parietal lobe
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ignoring one side of the body, difficulty in dressing: neuro lesion?
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nondominant parietal lobe
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visual hallucinations or illusions: neuro lesion?
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occipital lobes
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CN III and IV: neuro lesion?
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mid-brain
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CN V, VI, VII, and VIII: neuro lesion?
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pons
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CN IX, X, XI, and XII: neuro lesion?
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medulla
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ataxia, dyssarthria, nystagmus, intention tremor, dysmetria, scanning speech: neuro lesion?
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cerebellum
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resting tremor, chorea: neuro lesion?
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basal ganglia
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hemiballismus: neuro lesion?
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subthalamic nucleus
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