20 Cards Flashcards
Management of severe agitation in patients with delirium
Antipsychotic - risperidone, haloperidol - low doses and will come into effect within 5-20 minutes after administration
When are benzodiazepines used to manage ?delirium
Patients withdrawing from alcohol or sedative meds
Delirium related seizures
Common causes of delirium
Fluid and electrolyte disturbances
Infections
Hypoglycemia
UTIs
Pneumonia
Unilateral HA, periorbital inflammation, opthalmoplegia +/- on the OCP
Cavernous sinus thrombosis
What brain thing can anorexia nervosa result in
Wernickes encephalopathy
Ipsilateral oculomotor palsy and contralateral weakness of the upper and lower extremity - where is the stroke
branches of the posterior cerebral artery that supply the midbrain
RF for retinal detachment
DM, myopia, age, previous cataract surgery, eye trauma
Clin F for retinal detachment
New onset floaters/ flashes
Sudden onset painless visual feild loss
RAPD
Fundoscope shows loss of red reflex, pale/opaque/wrinkled retinal folds
Broca’s dysphasia
Non fluent speech, normal comprehension, impaired repitition
Clincal features of amyotrophic lateral sclerosis
UMN and LMN signs
Focal onset in one limb with contiguous spread
Absence of sensory symptoms and preserved proprioception
Clin F of guillian barre syndrome
Acute ascending paralysis over days to weeks with areflexia and sensory symptoms
Clin F of myasthenia gravis
Fatiguable weakness - affects the ocular and bulbar msucles early
First line management for acute cluster HA
SC sumatriptan
100% oxygen via non rebreather for 15-20 mins
Intranasal lignocaine can be used as an adjunct if first line treatments are ineffective or contrindicated
How to treat post lumbar puncture HAs
Oral caffeine
What med is used in prophylaxis of cluster HA
PO verapamil
