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15 Cards in this Set
- Front
- Back
Amylosis fugax--caused by _______________, significance = _________; management = ___________
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-painless loss of vision (curtain coming down) caused by EMBOLI (usu from carotid bifurcation);
-warning sign of impending stroke; -next step in mgmt = Duplex study of neck (to ID any plaques that may be present) |
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Drug approved for use in patients with Amotrophic Lateral Sclerosis (ALS)
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Riluzole--
a glutamate inhibitor...doesn't arrest process, but may prolong survival and the time to tracheostomy |
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Treatment for Guillain-Barre syndrome
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Plasmaphoresis & IV immunoglobulins
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2 drugs used to treat Essential Tremor, and what important side effect is possible:
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Propranolol and Primidone (anticonvulsant--but it can cause Acute Intermittent Porphyria--which manifests as abdominal pain, confusion, headaches, hallucinations, dizziness--ie abdominal, neuro, & psych symptoms)
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Acute onset of eye pain, photophobia, headache, and nausea, with a mid-dilated pupil on PE....
What is it and What is the best diagnostic test? |
Acute Glaucoma,
Ocular Tonometry |
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What other neuro/psych drug besides clozapine can cause agranulocytosis?
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Carbamzepine
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Best way to monitor respiratory function in a patient with Guillain-Barre
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Serial measurements of bedside Vital Capacity
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Hypertensive bleeds occur most commonly in the _______________, with other common locations including ___________, ____________, and _____________.
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Most common location = Basal Ganglia
Other common locations = cerebellum, thalamus, and pons |
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Signs of Cerebellar Dysfunction
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°Ataxia,
°Broad-based gate °Intention tremor °Dysmetria (lack of coordination of mvt typified by overshoot or undershoot of intended position with arm, hand, leg, or eye...it is a type of ataxia) °Nystagmus °Difficulty with rapid alternating movements; -->can also have muscle Hypotonia, where with patellar reflex you get pendulum knee reflex (a single tap on patellar tendon elicits several to-and-fro leg movements) |
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HIV-infected patient with focal neurologic signs and multiple non-enhancing lesions with no mass effect on CT scan
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PML (Progressive Multifocal Leukoencephalopathy)
common presenting signs are hemiparesis (one-sided weakness) and disturbances in speech, vision, and gait |
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Hemorrhages are seen as _________________ areas on CT, while infarcts characteristically have _________ parenchymal areas on CT
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Hemorrhages--hyperdense;
Infarcts--hypodense |
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Triad of encephalopathy, oculomotor dysfunction, and gait ataxia
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Wernicke encephalopathy
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Drug that can cause Pseudotumor cerebri (Idiopathic intracranial hypertension)
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Isoretinoin (or vitamin A toxicity)
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rapidly progressive dementia, myoclonus, and bi- or tri- phasic sharp waves on EEG
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Creutzfeldt-Jacob disease (prion disease)
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Tx for Trigeminal Neuralgia
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Carbamazepine
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