Day 2 Review - Neuro3, Neuro4, Psych2 Flashcards

1
Q

Complication may arise from LP in pt w/ elevated ICP

A

Uncal herniation of brain stem

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2
Q

Child p/w AMS, hypoglycemia, & lesions suggestive of chickenpox - most likely dx?

A

Hepatoencephalopathy - Reye’s syndrome

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3
Q

Prevent bacterial meningitis in newborns

A

Most common cause is E. Coli & GBS - Penicillin or Ampicillin in GBS+ moms during labor

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4
Q

Sx Encephalitis vs. Meningitis

A

Both HA, N/V, neck pain, fever; Encephalitis also have AMS & focal neuro defects

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5
Q

Initial radiographic study in pt w/ TIA/Stroke sx; Later studiess

A

Non-contrast Head CT (r/o hemorrhagic stroke); Later - Carotid duplex (plaques or clots), Echocardiogram (mural thrombosis, PFO, vegetations), MRA/CTA (angiogram of brain vascular to ID actual artery causing stroke)

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6
Q

Sx basilar artery stroke

A

Pontine ischemia - CN defects, AMS or coma (RAS disruption), Contralateral full body weakness (LCST) & decreased sensation; Vertigo, loss of coordination & difficulty speaking, Visual changes

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7
Q

Bp goals & meds: (1) Ischemic stroke (2) ICH (3) SAH

A

(1) Not lower bp unless BP > 220/120 or giving thrombolytic (tPA, urokinase, streptokinase) BP - MISSING INFO???

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8
Q

S/Sx of TCA overdose & Mgt

A

Cardiotoxicity, Anticholinergic sx, CNS toxicity; Sodium bicarbonate, especially QRS > 100 ms; Benzos if seizures; Monitor for at least 6 hrs to ensure no cardiotoxicity

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9
Q

Tx nephrogenic DI 2/2 Lithium toxicity

A

HCTZ always; In case of Lithium, also add Amiloride (closes Na channel at renal tubule affected by Li)

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10
Q

Feat. of Acute dystonia vs. Tardive dyskinesia

A

(1) Neck spasm, torticollis vs. (2) Repetitive facial movements

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11
Q

Tx Acute dystonia vs. Tardive dyskinesia

A

(1) Anticholinergic (Diphenhydramine or Benztropine) (2) D/d or change neuroleptic to one w/o extrapyramidal side effects (e.g., low potency or atypical neuroleptics)

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12
Q

EEG for Absence seizures

A

Generalized 3 cycle/sec (Hz) spike and wave pattern

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