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12 Cards in this Set
- Front
- Back
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meningitis 3mo vs 6mo
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- 3mo: GBS, e coli, listeria
- 6 mo: H flu, stre, n meningitis |
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acute disseminated encephalomyelitis
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- dz of brainstem, brain, spinal cord
- looks like MS on MRI - s/p viral illness, immunization, small pox |
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pt undergoes anesthesia => rigid, febrile, tachy, tachypneic
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- malignant hyperthermia 2/2 halothane or succinylcholine
- increased ca2+ - give dantrolene - AD inheritence |
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CN III, IV, VI
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- III: controls upward and medial eye movement via MR, SR, IO
- inactive => eye is down ad out - IV: SO => can't look down and medial => problems going down stairs - VI: LR: horizontal diplopia |
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TBI- keep hyper or hypothermic?
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- hypothermic
- decreases cerebral metabolism, acidosis - pack in ice |
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ddx bulbar paresis
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- loss of VII
- ddx: demyelinating polyneuropathy (GBS, AIDP), botulism, tick |
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path of botulism
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- decreased ACh available for release
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risk of developing MS after optic neuritis?
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- 75% female
- 34% male |
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bladder dysfx in MS tx
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- 2/2 corticospinal dz => UMN lesion => spastic bladder
- TCA, oxybutynin (anticholinergic) - if flaccid bladder use cholinergic (methacholine) |
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tx of MS spasticity?
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- baclofen (GABA derivative)
- tizanidine (alpha-2 adrenergic agonist) |
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pt with hemorrhagic mass now with HTN and brady?
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- CUSHINGS - neurosurg
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tx glioblastoma
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- reserction and radiation
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