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29 Cards in this Set
- Front
- Back
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inf
sarcoid goes where |
cn 7 facial
weak face, nml sensation half of face lymphaden |
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inf
1. transplant pt, meningitis, fungal, name most common cause |
1.cryptococcus cx meningitis or men-enceph.
VS others that cause CNS fungal infectons like abscess : aspirgillis in immunocomp #1 funal mennny chr ha , inc pressure, CN signs CSF: lymphs, VERY low glu, high ptn Diag: latex agglut, Antigen Rx: amphoter and fluCYTOSINE Coccidiouidis similar, Swest, Diag CSF culture, Rx IV and intrathecal ampho |
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inf
man brazil, 3m slow prog ble weak, worse l vs r, parasite cause name? level of nervous system? |
s mansoni, LN near spine granulomas press
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inf
*TB in brain: treat meds not sx toxo #1 fungi HIV brain, rx sulfadiazone and pyrimethamine *hyatid: praziquantal |
see before
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JML
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Rx HAART
kills myelin making cells |
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inf
#1 cause acute enceph and how it presents |
herpes
60ish h/a, fever, disoriented, seizure RX IV acyclovir CSF: inc lymphs 12 to 100's, sl high pressure, glu nml to slight low EEG: bilat epileptiform periodic discharges, temporal regions, if severe dzmay see slow waves here. If seizures, generallized disruption. |
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inf path
hiv cmv inclusions |
hiv multiglial nodules, syncytial cells in brain and cord.
cmv: does not have above, nodules are subpial, subependymal |
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inf
lyme |
burgdorf
CN7 Diag: CSF to serum antibody ratio over 1 indicates wactive CSF infection. LP also CSF DNA, lymph pleo, mild ptn Rx: child menny high dose pienny or ceftriaxone IV 10-14 days; allergic to those 30d tetracycline |
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inf
brain abscess #1 symptom long lasting RX |
lSigns current: space occupying signs NOT fever/ha/neck like menny.
Diag: Dont do a tap (little use) but if you did only see mild inc ptn. Diag w/ MRI or CT con. Once perfs to ventricle fatal. Rx: resect surgically, get cultures and treat. Empiric: metro, pen/ceftri for 6/8wks. .ong lasting deficit: 3/4 : h/a 75% a few weeks after abscess seiz, focal deficits 1/3; /4 papedema |
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inf
90yo blur vision stiff neck rhombencephalitis CSF: no orgs, pleocytosis all cxs negative Org? Rx? |
Listeria:
neg cultures The CSF profile in listerial meningitis most often shows white blood cell (WBC) counts in the range of 100–5000/L (rarely higher); 75% of patients have WBC counts below 1000/L, usually with a neutrophil predominance more modest than that in other bacterial meningitides. Low glucose levels and positive results on Gram's staining are found ~30–40% of the time. |
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inf
HIV/AIDS subacute 4mnth weight loss, right side invol mvts, right hypertonia, CT low density left side, EEG diffuse slow Bx: oligo lg nuclei w dark inclusions, lots demyelination, giast astrocytes over 1mnth ataxia -> dementia-> loss bowel bladder-> die |
AIDS x PML
oligo w dark inclusions= PML Dx MRI: focal lesions, no enhance, no mass effect or PCR so dont need biopsy |
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inf
3 day confused ans seizures and act wierd LAD epittochlear ((arm) |
hensonae, cat scratch
MRI: signal pulvinar |
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inf lepto?
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sepsis like
muscle pain, then less fever then BAD: liver, renal, hemmorage, HSM, rash, CSF: mild pleomono, sl ptn high. Test: early on blood, week 2 urine |
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inf
htlv-1 |
tropical spastic paraparesis
htlv-assoc-myelopathy HAM Sx: prog m weak legs sens loss symm, hyperreflex, loss bowel/bladder, const, sexual Rx:steroids may help |
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inf
lp pressure 50 ptn 500 glu 25 cells 700 ?? |
bact menny
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lp
high ptn low glu lymphs |
TB
rx: 3 drugs and steroids if focal deficits, may take sev taps to get +AFB |
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inf
herpes oral vs iv acylc |
brain : IV
oral: cornea, hearing impair, face paral (hunt) immunocomp: IV |
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inf
lp lymohd high ptn very low gly |
fungal
(TB: just dec glu) (bact: pmn not lymph) |
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inf
toxo |
#1 mass HIV. Has mass effect.
Rx sulf and pyr and folinic acid, if still there in 2 weeks consider bx to r/o lymophoma. Treat for 4-6wks. Pt needs lifelong prophy with those meds. |
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inf by prok
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cystericosis
taenia solium seize and h/a ring enhance cysts, calcify RX: AED, shunt if high pressures; ALBENDAOLE |
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tumor
bilat acoustic schwann dz and gene |
NF2 bilat acous sch and menigiomas
chr 22 long arm VS NF1 "peripheral" ch 17: skin |
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EEG
describe waves of relaxed adult with eyes closed |
alpha waves 8-13 hz post head
gone when open eyes or conc or deeper asleep |
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myo
pattern of prob primary muscle dz |
weakness prox more than distal
so hip girdle then shoulder rising from seat. Can still do ok on RAM whereas those with distal weakness may do poor due to m not n. Ex polymyositis |
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what is ocular bobbing
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damge pons
eyes go down but not faast enough to be nystagmus |
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down beat nyst
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damage cericomed junction damage (tumot f magmun)
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horner
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miosis ptosos (more subtle than w cn3 damage)
anhydrosis (unless from ICA dissection then absent, ICA dissection comment after vigourous exercise, trauma) |
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name
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chiri 1
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chiari 2
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