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35 Cards in this Set

  • Front
  • Back
Back Pain + Fever =?
Epidural Abscess
58yo low back pain, Hx Lung CA/Breast next step?
STEROIDS FIRST

then MRI
MRI Contraindicated in?
Patients w/
PACERs
Claustrophobia
ASA (anterior spinal artery) damage?
everything is lost

EXCEPT Position + Vibration
Loss of position + Vibration?
Peripheral Neuropathy

B12 Deficiency
When is EMG used?
Myasthemia Gravis
When do you biopsy the brain?
1) mass
2) encephalitis (w/o diagnosis)
3) dementia
When are PET scans done?
Detects Cancer that Increase UPTAKE
Pat. w/ STROKE, Next Step?
CT no contrast
Pat. w/ loss of speech?
LEFT YOU SPEECHLESS!!!

Left Temporal/Parietal Lobe
What nerve is affected if lower face is affected?
CENTRAL CN VII

otherwise whole face
What does Romberg test?
Cerebellar Fx
What 3 tests asses Cerebellar Fx?
Romberg
Pronator Drift
Tandem Walking

Heel to SHin
Finger to NOSE
Dysdiadokinesis
What is the MC vessel affected in CVA?
MCA (Middle Cerebral Artery)
What artery is affected in:
Leg Weakness
COnfusion
INcontinence?
Anterior Cerebral Atery
ACA
Ipsilateral CN III,
Contralateral Weakness
Ataxia Weakness artery afected?
Posterior Cerebral Artery!
Motor Symptoms what kind of infarct happened???
Lacunar Infarct
When do you use TPA?
<3 hours after CVA
What drug used >3 hrs after CVA?
Abciximab
Tirofiban
Eptifibtaide

ALSO ASPIRIN!!!
IF CVA and patient already on aspirin, what do you do?
Add dipyridamidol
Switch to CLopidrogel
FOR CVA Never use Ticlopidine!!! WHY?
cause TTP
decrease WBCs
When is endardectomy indicated?
>70% stenosis + STROKE (CVA)
Acute Tx of Generalized Tonic Clonic?
Benzodiazepine


Fosphenytoin
PHenobarbitol
General Anethesia
Intubate
Tx fo Absence Seizure?
Ethosuximide
Rx of Long Term Tonic Clonic?
Valproic Acid
S/E of Lamotrigine?
Rash
Steven Johnson
S/E of Phenytoin?
Gingival Hyperplasia
What anticonvulsion medicine is used in pregnancy?
Carbamazepine
Rx for 1st Seizure?
Not treated

EXCEPT:
status epilepticus
Family Hx
Abnormal EEG (Focal FIndings)
Olivopontocerebellar atrophy causes what symptoms?
Autonomic Instability
SHyTagger Sx

CEREBELLAR so pat looses stability
Dementia/Hallucinations + PARKINSONS!!! Is what DX?
Lewy Body Dementia!
Dx: for Parkinson?
NOne/Clinical
Tx for Mild Parkinson <60?
ANTICHOLINERGIC

Trihexiphenidate
BENZtropine
S/E of Anticholinergics?
Urinary Retention
COnstipation
(Decrease GI secretions)
Tx for Mild Parkinson for pat. >60?
AMANTADINE


give the old man A MANTA