12/21/12 b Flashcards
What do you call a focal paresis/paralysis typicaly lasting less than 24 hrs following a seizure?
Todd’s paralysis (Postictal paralysis)
What does Todd’s paralysis indicate about the nature of the seizure?
likely d/t structural abnormality
What diagnostic measure should be taken first in all pts w/ suspected renal disease?
urinalysis
What enzyme is deficient in the more severe form of galactosemia (classic galactosemia)?
Gal-1-P uridyl transferase
What enzyme is deficient in the less severe form of galactosemia?
galactokinase
Small red patch progresses to indurated, shiny, tense patch over cheek. Hx of trauma or pharyngitis. raised, sharply demarcated advancing margins. Lymphatic involvement possible. Dx?
erysipelas
What bug causes most erysipelas?
Strep
A flat lesion that differs in color from the surrounding skin.
macule
An elevated, solid lesion that is generally small (<5mm in diameter).
Papule
In what 2 locations is neuroblastoma most likely to arise?
adrenal glands or sympathetic paraspinal ganglia
What is the other name for Osgood-Schlatter’s disease?
traction apophysitis of the tibial tubercle
How can you differentiate Osg00d-Schlatter’s from patellar tendonitis clinically? On X-ray?
prepatellar bursitis will have point tenderness over inf pole of patella; OS will show separation, irregularity, or fragmentation of the tibial tubercle
What is the difference between a partial and a generalized seizure?
partial = focal (may include automatisms, hallucinations); generalized = diffuse (includes tonic-clonic)
What differentiates complex partial seizures from simple partial ones?
loss of consciousness
What are the characteristics of Lennox-Gastaut syndrome? Typical age of presentation?
frequent seizues of many types, usu. w/ dev. delay and psych problems; 2-6 y.o.
