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35 Cards in this Set
- Front
- Back
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Back Pain + Fever =?
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Epidural Abscess
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58yo low back pain, Hx Lung CA/Breast next step?
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STEROIDS FIRST
then MRI |
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MRI Contraindicated in?
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Patients w/
PACERs Claustrophobia |
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ASA (anterior spinal artery) damage?
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everything is lost
EXCEPT Position + Vibration |
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Loss of position + Vibration?
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Peripheral Neuropathy
B12 Deficiency |
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When is EMG used?
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Myasthemia Gravis
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When do you biopsy the brain?
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1) mass
2) encephalitis (w/o diagnosis) 3) dementia |
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When are PET scans done?
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Detects Cancer that Increase UPTAKE
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Pat. w/ STROKE, Next Step?
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CT no contrast
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Pat. w/ loss of speech?
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LEFT YOU SPEECHLESS!!!
Left Temporal/Parietal Lobe |
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What nerve is affected if lower face is affected?
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CENTRAL CN VII
otherwise whole face |
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What does Romberg test?
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Cerebellar Fx
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What 3 tests ***** Cerebellar Fx?
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Romberg
Pronator Drift Tandem Walking Heel to SHin Finger to NOSE Dysdiadokinesis |
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What is the MC vessel affected in CVA?
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MCA (Middle Cerebral Artery)
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What artery is affected in:
Leg Weakness COnfusion INcontinence? |
Anterior Cerebral Atery
ACA |
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Ipsilateral CN III,
Contralateral Weakness Ataxia Weakness artery afected? |
Posterior Cerebral Artery!
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Motor Symptoms what kind of infarct happened???
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Lacunar Infarct
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When do you use TPA?
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<3 hours after CVA
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What drug used >3 hrs after CVA?
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Abciximab
Tirofiban Eptifibtaide ALSO ASPIRIN!!! |
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IF CVA and patient already on aspirin, what do you do?
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Add dipyridamidol
Switch to CLopidrogel |
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FOR CVA Never use Ticlopidine!!! WHY?
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cause TTP
decrease WBCs |
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When is endardectomy indicated?
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>70% stenosis + STROKE (CVA)
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Acute Tx of Generalized Tonic Clonic?
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Benzodiazepine
Fosphenytoin PHenobarbitol General Anethesia Intubate |
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Tx fo Absence Seizure?
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Ethosuximide
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Rx of Long Term Tonic Clonic?
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Valproic Acid
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S/E of Lamotrigine?
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Rash
Steven Johnson |
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S/E of Phenytoin?
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Gingival Hyperplasia
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What anticonvulsion medicine is used in pregnancy?
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Carbamazepine
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Rx for 1st Seizure?
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Not treated
EXCEPT: status epilepticus Family Hx Abnormal EEG (Focal FIndings) |
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Olivopontocerebellar atrophy causes what symptoms?
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Autonomic Instability
SHyTagger Sx CEREBELLAR so pat looses stability |
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Dementia/Hallucinations + PARKINSONS!!! Is what DX?
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Lewy Body Dementia!
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Dx: for Parkinson?
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NOne/Clinical
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Tx for Mild Parkinson <60?
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ANTICHOLINERGIC
Trihexiphenidate BENZtropine |
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S/E of Anticholinergics?
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Urinary Retention
COnstipation (Decrease GI secretions) |
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Tx for Mild Parkinson for pat. >60?
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AMANTADINE
give the old man A MANTA |
