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15 Cards in this Set
- Front
- Back
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Clinical presentation: elderly woman arrives at ED after MVA. She has neck pain. Able to walk unassisted; PE reveals weak handshake but relatively good proximal arm strength. What is the DX?
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Central cord syndrome
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What is the MC spinal cord syndrome and what are its clinical features?
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Central cord syndrome usually occurs in elderly people following cervical hyperext injx. They usually have preexisting cervical stenosis or spondylosis. Weakness is greater in arms > legs
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What is the MC intracerebral bleed following head injx?
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Subarachnoid
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20% of late posttraumatic sz (those that occur one week to 10yrs after head injx) are ___ ___ sz.
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Temporal lobe
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What is the first sign of phenytoin tox?
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nystagmus
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A post viral ascending transverse myelitis with ascending paralysis is the ___ ___ ___.
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Guillain Barre syndrome
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Unilat facial nerve paralysis that involves the muscles of the forehead and is differentiated from a stroke by the absence of focal neurologic deficits is known as ___ ___.
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Bells palsy
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Clinical presentation: middle aged male c/o muscle weakness after he climbed a flight of stairs. he also c/o double vision. On exam, there is ptosis. What is the DX?
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Myasthenia gravis
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What are the most frequent initial sx in myasthenia gravis pts?
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double vision/ptosis/blurred vision
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If a "regular" alcoholic ED pt is confsed (more than usual), ___ ___ must be prominent in the ddx.
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Subdural bleed
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What is the appropriate tx for a head injx with evidence of uncal herniation (including decerebrate posturing)?
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Reduce ICP with intubation/hypervent
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What early signs in a head injx pt indicates that delayed posttraumatic epilepsy is a likely sequela?
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Acute intracerebral hematoma or depressed skull fx
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CSF findings:
elevated proteins low glucose cell count 80% lymphocytes Which type of meningitis is this? |
Fungal
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What is the most liekly bacterial organism causing meninitis in an 8yo girl?
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H Influenza, S pneumo, N Meningitidis
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In addition to central cord syndrome, there are two other cord syndromes. What are these syndromes and what are their cx features?
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Brown Sequard: ipsilateral paralysis and position/vibratory sensation with contralat pain/temp loss
Anterior Cord syndrome: paralysis and pain/temp loss distal to the lesion with sparing of the posterior columns (intact position/vibratory) |
