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15 Cards in this Set
- Front
- Back
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what is the pattern of pain in a migraine
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unilateral, throbbing pain
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what is the pattern of pain in a tension headache
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bilateral pain a/w tightness in neck/shoulders
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Rx for lithium-induced nephrogenic DI
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hydrochlorothiazide
amiloride (closes Na+ channels in collecting tubules) |
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classic presentation of Guillain-Barre Syndrome
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ascending paralysis presenting after a recent infection (e.g. viral illness, diarrhea, etc)
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how can guillain barre be Dx'd
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CSF will show albuminocytologic dissociation
(elevated protein and normal WBC) electromyography reveals slowing of nerve conduction velocity (i.e. demyelination) |
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how do you Tx ileus in px with guillain barre
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erythromycin
neostigmine |
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what causes fasciculations and fibrillations at rest on EMG
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LMN lesion
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what causes a silent EMG at rest and a decrease in the amplitude of muscle contraction on stimulation
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intrinsic muscle disease (e.g. myositis, muscle inflammation, MD)
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lung cancer may be a/w what d/o, causing muscle weakness
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lambert eaton
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what test is Dx of MG
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tensilon test (edrophonium)
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what is the Rx for benign essential tremor
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B-blockers
benzos primidone thalamotomy/deep brain stimulation (for refactory cases) For refractory cases: thalamotomy, deep brain stimulation |
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Dx
woman presents with ptosis and diplopia that worsens throughout the day |
Myasthenia Gravis
(AB's to ACh receptors at post-synaptic NMJ) |
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Rx for guillain barre
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supportive care
plasmaphoresis and IVIG (steroids NOT beneficial) |
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how is Bell's palsy differentiated from a motor cortex stroke
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BELL'S PALSY:
unilateral UPPER & LOWER facial paralysis MOTOR CORTEX STROKE: unilateral LOWER facial paralysis |
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classic presentation of GBS
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SYMMETRIC MUSCLE WEAKNESS
initially "stocking-glove" distribution ascending paralysis respiratory paralysis facial muscle/oropharyngeal weakness AUTONOMIC DYSFUNCTION ABSENT/DEPRESSED DTR'S = HALLMARK OF GBS |
