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13 Cards in this Set

  • Front
  • Back
pupil sparing 3rd nerve palsy
ischemic 3rd nerve plays from Diabetes
where do spinal cord infarctions typically occur
thoracic cord
differentiate infarction of the anterior and posterior spinal artery
anterior - sudden onset UMN weakness or complete paralysis below the level of the lesion, but preserved vibration and proprioception
posterior - sudden onset gait ataxia, but with normal strength, reflexes, and patin and temperature
diabeteic amyotrophy
type 2 diabetic complication from ischemic infarction at the nerve root level of L2-4
proximal thigh pain, proximal muscle weakness, loss of the patellar reflex
diabetic peripheral neuropathy
progressive numbness and tingling in the toes of both feet which slowly progress up the legs, autonomic nerves affected as well - orthostatic hypotension, nausea, diarrhea, erectile dysfunction, loss of ankle jerk reflex
treatment of peripheral neuropathies
HIV-associated dementia
subcortical dementia
features of parkinsonism
withdrawn and depressed dementia
behavioral changes
why should patients suspected of having HIV-dementia always have an MRI and LP
to rule out infections causing the dementia symptoms
differentiate toxoplasmosis encephalitis and CNS lymphoma
lymphoma - slower onset, no fever, more likely single lesion, no response to treatment for toxoplasmosis
multiple lesions seen in the basal ganglia on MRI in HIV patient
HIV patient presents with meningoencephalitis
HIV patient presents with progressive painless spasticity, weakness, loss of sensation in the legs, and bladder dysfunction
vacuolar myelopathy
drug-induced myopathy
antiretroviral zidovudein (AZT)
elevated serum CK