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28 Cards in this Set
- Front
- Back
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lesion of posterior spinal cord
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- ataxia
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sequelae of pseudotumor cerebri? RF?
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- blindness
- RF: GC, vit A, OCP |
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path of multiple sclerosis?
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- demyelination of corticospinal tracts
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GBS dx? and tx?
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- dx: CSF with increased protein despite normal cell count
- tx: Ig and plasmaphoresis |
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ddx to diabetic neuropathy?
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- DM = proprioception, numbness, tingling
- other dx if motor sx (decreased strenght), UMN (increased reflex, + babinski) b/c DM is only LMN |
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hypokalemia
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- weakness, fatigue, muscle cramps, flaccid paralysis, hyporeflexia
- flat T waves, U waves, ST depression |
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cerebellar atrophy
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- alcoholic pt
- NYSTAGMUS, broad based gait, intention tremor, ataxia |
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IV drug user now with neuro sx?
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- septic emboli from endocarditis
- sign of emboli in kidney = proteinuria |
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CSF of herpes meningitis?
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increased lymphocytes, increased erythrocytes, increased protein, normal glucose
- CT: temporal lobe lesion, EEG = hgih amplitude slow waves - HSV DNA in CSF - can be in young person... |
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increased lymphocytes vs increased PMN in CSF?
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- viral infx
- bacterial infx |
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tx RLS?
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- DA agonist = pramipexol, ropinerole or levodopa
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putamen hemorrhage
cerebellar hemorrhage |
- MC site in hypertensive hemorrhage => hemiparesis, hemisensory, homonymous hemianopsia, stupor, coma, eyes deviate away from paralytic site
- cerebellar: ataxia, vomiting, occiptal HA, gaze palsy, facial weakness, tx : surgical decompression |
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pseudodementia test?
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- can do dexamethasone suppression test, abnormal in 50%
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primidone
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tx of essential tremor
- can cause acute intermittent porphyria: abd pain, neuro, psych (HA, hallucinations) |
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only long term tx of MS?
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- interferon beta
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neuocutaneous sx?
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- NF1, NF2
- sturge weber = port wine stains in CN V1 distribution, angiomatosis, malformation of brain, seizures, hemiparesis - tuberous sclerosis: ash leaf hypopig, cardiac rhab, kidney angioleiomyomas, MR, seizures |
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tx parkinson
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- anticholinergics e.g. trihexyphenidyl
- first line = L-dopa, but if young start with DA agonist - anticholinesterase (benztropine) for tremor, rigidity, doesn't tx brady - amantadine if mild sx - selegiline with L-dopa to helps sx |
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pt with lung mass and weakness?
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- if preserved DTR = myasthenia gravis = Ab to post synaptic receptor
- if decreased DTR = lamber eaton, MCC in small cell = Ab to calcium channel in presynaptic; dx by electrohysiological study => muscle response to repeitive stim |
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workup of pseudotumor cerebri?
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- pt with sx of pulsatile HA, wakes up at night
- dx of exclusion so do MRI (see empty sella 2/2 downward herniation from increased CSF pressures), MR venography to r/o venous thrombosis, LP |
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frontotemproal dementia
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- personality changes, compulsive behavior, decreased memory
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tx ALS
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- riluzole = glutamate inhibitor
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tx alzheimers
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- donepezil = cholinesterase inhibitor
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lew body dementia
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- bizzare visual hallucination, cog impariemtn, parkinsonism but poore response to DA agonist therapy, decrease visuospatial ability
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progressive ascending paralysis?
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- VERY RAPID, no sensory deficits, normal CSF = tick borne paralysis, find the tick
- GBS = decreased sensation, sx over days to weeks => increased protein in CSF |
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aminoglycoside
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- e.g. gentamycin => sudden onset of sx of vertigo, gain imalance = ototoxicity, vestibulotoxic
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random neuro sx
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- MS
- optic neuritis = painful vision loss, central visual field defect, and normal fundoscopy |
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pt with osteoporosis now with back pain and bilateral leg weakness?
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- cord compression from disk herniation
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bilatearl lower extremity weakness with UMN (increased DTR)
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cord compression
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