Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
|
Stroke BP
|
Ischemic - <220/120
after Tpa - at or near 180/105 ICH - <1160/90 |
|
|
Brain Death
|
catastrophic CNS event in abscence of complicating medical condition
absent motor response to pain absent brainstrem reflexes absent pupillary light reflex absent corneal and oculocephalic reflex absent cough reflex with tracheal suctioning confirm with apnea test |
|
|
GBS tx
|
Plasmapharesis and/or IVIG most effect within 7 days
|
|
|
cluster headache
|
prevention - verapamil, (prednisone and lithium are alternatives)
acute tx - 100% oxygen, sumatriptan |
|
|
dementia
|
memory loss + one of following
1. reasoning 2. language 3. handling complex tasks 4. spatial orientation |
|
|
Lewy body dementia
|
gradual progression of parkonsinism + alzheimers
falls and visual hallucinations common |
|
|
Meralgia paresthetica+lateral femoral cutaneous nerve entrapment
|
pure sensory over anteriolateral thigh, trapped under inguinal ligament, tx weight loss and avoid tight clothes
|
|
|
sarcoidosis difinitive dx
|
biopsy of
1. any palpable node. 2. subq nodule except EN 3. enlarged parotid 4. lacrimal gland |
|
|
MS tx
|
acute - IV steroids
decreasing exacerbations - beta interferon or glatiramer acetate, natalizumab |
|
|
what electrolyte to monitor when repleting B12
|
K, it is used by newly forming rbcs
|
|
|
phenytoin toxicity
|
nystagmus on lateral gaze, blurred vision, diplopia, ataxia, slurred speeck, dizziness, drowsiness, lethargy, decreased mentation, coma
|
|
|
tick paralysis
|
progressive ascending paralysis over hours to days
|
|
|
als nerves preserved
|
ocular motility, sensory, bladder, cognitive function
|
|
|
bells palsy tx
|
corticosteroids + eye care
|
|
|
reversible dementia workup
|
cbc, glucose, electrolytes, calcium, BUN, creatinine, B12, TSH, depression screen
|
|
|
myesthenia gravis
|
ocular and bulbar muscles - double vision, difficulty swallowing, ptosis
worsens throughout the day, better with rest Dx. ACHR, epsilon tx. pyridostigmine,neostigmine>thymectomy>prednisone>azathioprine/cyclosporine |
|
|
status epilepticus
|
1. benzo
2. fosphenytoin 3. phenobarbital 4. pentobarbital, thiopental, medazolam, propofol |
|
|
seizure workup
|
urgent head ct, Na, Glucose, O2, Cr, Mg, Urine tox, then consult neuro
if workup negative do EEG |
|
|
parkinsons tx
|
mild - antiAch if < 60, amantadine if > 60
severe( affected ADLs) levo/carbi, pramipexole, can add entacapone, selegiline to enhance effects |
|
|
CJD dx
|
EEG with spkes, CSF with 14-3-3 protein
|
|
|
alzheimers tx
|
donepizil, tacrine, rivastigmine, memantaine
|
|
|
meniere's disease
|
can last hours, dix hallpike
tx. epley, meclizine, na restriction, diuretics |
|
|
myotonic dystrophy |
weakness, fatigue, myopathic waddling gait, muscle stiffness and delayed grip relaxation, ptosis, facial drooping, dysarthria, cardiomyopathy and heart block type 1 distal limb and facial muscles type 2 proximal muscles dx EMG and genetic testing for type I |
|
|
inclusion body myositis |
slowly progressive inflammatory myopathy affects the distal upper extremity flexors and quads, assymetry common, no myotonia |
