daily study Flashcards
csf with elevated proteins and no WBC:
GBS, or AIDP
MUSK LRP4 goes with what other antibodies and what disease
MG, ACh antibodies
what gene is associated with sma?
survival 1
how can you tell botilism from mg or les
botolism the eyes are dialted, mg they would constrict
what are the neoparaplastic diseases?
LES, Dermatomyositis, polymyositis
what are the AD neuromuscular disorders?
charcot marie, myotonic Dystrophy (CTG)
how do you treat acute AIDP?
Plasmapharesis or IVIG
if a baby may be “slow” and he has hyporeflexis, you are thinking:
lmn damage or muscles: check creatine levels
polymyositis and dermatomyositis have:
increased CK levels over 200
In LEMS you can test for:
P/Q Voltage-gated calcium channel
Dog given ______ starts walking because it was a ______
edrophonium, ACh-ase inhibitor
•Angular atrophy is present in:
europathic findings (SMA, ALS)
•We see fiber type grouping. You get groups of Type 1 and Type 2 muscle fibers. It should normally be a checker board pattern, but here you see big blocks of Type 1 and big blocks fo Type 2.
what other inherited diseases are there and what disease is it associated with?
muscular dystrophy, X-linked, shows increased levels of Creatine Phosphokinase (CPK)
vasovagal syncope
vaSO-hyPO-NO tachycardia reflex
VErTIgo is affiliated with:
VEsTIbular: from the vestibular nuclei there are three distinations: occulomotor and abdusens nerve, flocculonodular lobe of the cerebellum helps to coordinate head and eye movement, vestibulospinal white matter: keeps head up straight
bouts of acute, persistant vertigo are related to:
acute vestibular syndrome
episodic vertigo that changes with position: if sponstaneous, it’s:
bppv, dix hallpike, positive nystagmus; migraine
dysphagia, dysarthia, attaxia and dysmetria are all:
cranial nerve symptoms, swallowing (CN 9, 10, 12) speech (cranial nerve 5, 7, 9, 10, 12) cerebellum (you dissin me?) a type of ataxia but attaxia is trunkal (postural)
a persistant vertigo is a sign of, and it can be central or peripheral
avs
BPPV is listed under:
acute episodic, positional
migraine characteristics
5graine, 4-72 hours, 40 avg age, aura develops over 4 minutes, and lasts no longer than 60 (does not always equal
migraine vs tia
migraine develops over 4 minutes, tia instant, migraine lasts longer (20), tia less than 15, migraine: positive visual symptoms, tia: loss of vision
what makes a migraine chronic?
15 (write ch of chronic backwards)
abc’s of migraine treatment:
anti-alpha epileptic drugs, anti-alpha antidepressent, beta blockers, calcium channel inhibitors
sumotryptan is contrindicated for:
CAD, prinzmetals, pregnancy
cluster headache lasts:
15 min to 3 hours (cluster headache is 15 letters)
familial component is:
more common than positive visual aura
woman with intense jaw pain brought on by cold:
trigeminal neuralgia: treat with carbemazapine
verapamil is a:
prophylactic for cluster headaches and migraines
tensions type headaches may be associated with:
slightly reduced neck range of motion and paracervical tenderness
classic migraine:
familial, unilateral throbbing, diminishes with age,
stabbing pain on one side just below the eye, lasting 1 second at a time, triggered by drinking cold fluids:
trigeminal neuralgia
throbbing npain waking him from sleep while sleeping and persistant in the day. Centered about the left eye and appears nearly daily for several weeks or months
cluster headache
dull left side pain with radiation to the right side. No nasuea or vomitting, and has lost 10 pounds over the past 2 months
temporal arteritis
obese woman, bilateral papilledema
idiopathic intracranial hypertension, headache transient visual obcurations, progressive visual loss, pulsatile tinnitus, diplopia, shoulder and arm pain, papilledema or optic atrophy
sudden severe headache associate with naseua. Maximum intensity after 5 seconds. No prior history of headache, and was engaged in sexual activity just before the onset
thunderclap headache
headache upon standing, and it resolves quickly after lying down. Mild nasuea
intracranial hypotension, result of recent lumbar puncture,
in vasculitis, you would see ____ in CSF
elevated protein levels in the csf
in rcvs, you have to rule out:
subarachnoid hemorrage, vasculitis, cerebral venous thrombosis
redish orange eye picture is indicative of:
idiopathic intracranial headache
if you see a ct scan with a small tumor in the temporal area, if it most likely:
vestibular schwannoma
if you see a ct scan with a small tumor along the falx or meninges of the brain, it is most likely a:
meningioma
if you see a tiny tumor in the spinal cord, it is most likely an:
epindemoma
if you see a small tumor in the lp area of the bottom of the spine, it is most likely a
schwanoma
pancake on back of leg_____ raised up patch of bumps______
plexiform neurofibromas 1, shagreen patches tuberous sclerosis
sturge weber gene:
GNAQ guanine nucleotide activating gene
whats the story for sturge weber?
We took the tram on the calcified track to meso grill in equador. At the restaurant, the specials were sturgin. So, you sporadically chose your sturgin as your entree. In addition to your meal, you ordered 1/2 glasss of port wine. You we’re really upset because your sturgin was so dry, that you had to GNAw on it. Because of that you gave no TIP (GTP). At the end of your meal, they gave you seez candies. They tastes so bad, that you broke your glass and glass went into you eye. You screamed “GLASS-EYE-OW! *GLACOMA” had peed a vast amount
If you see a ct scan with subtle lesions in the top left and bottom left corners, it is:
cortical tubers tubero sclerosis
adenoma sebaceum occurs in 90% of patients with:
tubero sclerosis
by age 5, more than half of patients with tubero sclerosis will have:
subependymal gial nodules that have calcified
parents are concerned that his many areas of hyperpigmented skin (some more than 2.5 in in diameter) may have some significance. This dermatological manifestation is commonly found on patients with:
neurofibromatosis
the newborn infant with motor neuron disease is likely to exhibit which of the following:
hypotonia (sma)