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31 Cards in this Set
- Front
- Back
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S&S of meningitis
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Fever
Severe HA Nuchal rigidity Brudzinski's Kernigs Photophobia |
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Bend neck
-Brudzinski or Kernig |
Brudzinski's
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Bend knee
-Brudzinski or Kernig |
Kernig's
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Main complication of meningitis
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IICP (90%)
-Inflamm response>inc CSF prod |
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Med Tx of meningitis
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Abx
ICP mgmt Corticosteroids Anticonvulsants |
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Metastatic brain tumors most commonly assoc with...
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Ling
Breast Melanoma |
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Types of gliomas
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50% of primary brain tumors
astrocytoma oligodendroglioma ependymoma |
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Rare glioma with seizure being very common as initial manifestation
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ependymoma
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Glioma arising from lining of ventricles
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Oligodendroglioma
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Main complication of oligodendroglioma
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Hydrocephalus
-mng with VP shunt |
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Generally benign timor accounting for 27% of primary brain tumors
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Meningioma
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meningioma
-Good or bad prognosis via tumor resection? |
Good prognosis
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Good prognosis with tumor resection
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Meningioma (benign)
Pituitary adenoma (benign) |
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S&S of pituitary adenoma r/t
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Hypersecretion of hormones
-adrenal--fluid balance -ovaries--abn menstration -testes--impotence |
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This brain tumor assoc with immunocompromised
-HIV -transplant |
Malignant CNS lymphoma
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Tx of malignant CNS lymphoma
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Radiation
High dose MTX Corticosteroids |
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Generalized S&S of brain tumors
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Mental status changes
HA Vomiting Seizures |
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Frontal lone S&S
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Personality changes
Expressive aphasia-brocas Contralateral hemparesis |
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parietal lobe S&S
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Loss of position sense
Neglect syndrome Perceptual difficulty |
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Temporal lobe S&S
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Memory deficits
Auditory/olfactory hallucinations Receptive aphasia-wernickes |
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occipital lobe S&S
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Vision loss
Visual agnosia |
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Midbrain S&S
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Ptosis/diplopia/dilation
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Cerebellum S&S
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Gait
Balance Discoordination |
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Pons S&S
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Facial sensation loss/drooping
Corneal reflex loss |
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Medulla S&S
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Difficulty swallowing
Loss of cough/gag Resp pattern changes |
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Gold standard diagnostic tool for brain tumors
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MRI
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type of surgery for removal of pituitary tumors
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Transsphenoidal
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Complication of transsphenoidal aproach
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CSF leak
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Teaching s/p transsphenoidal
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No coughing/sucking/blowing nose
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First line Tx after bipsy and surgical intervention
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Rdiation
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Why does chemotherapy have limited success in Tx'ing brain tumors
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Blood brain barrier
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