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Neurology > Disease = Tx > Flashcards

Disease = Tx Flashcards

1
Q

Huntington Dz

A

Nothing - fatal 15-20 yrs

  • Chorea = dopa blocker
  • Cognitivive = AchE inhibitors
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2
Q

Essential Familial Tremor

A

Propranolol

*behavioral mods (caffeine, assistve devices)

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3
Q

Parkinson’s Dz

A
  • Levodopa/Cardidopa
  • DOPA AGS = (Pramiprexole, Bromocriptine
  • ANTICHOL = (Trihexyphenidyl, Benztropine)
  • Amantadine
  • MAOb BLOCKER = (Selegiline, Rasagiline)
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4
Q

Tourette’s Syndrome

A
  • CBT
  • Dopa Blocker = (Haloperidol, Risperidone)
  • Clonazepam
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5
Q

ALS

A

Riluzole

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6
Q

Cerebral Palsy

A

Diazepam/Baclofen

SEIZURES = Anti-epileptics

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7
Q

Restless Leg Syndrome

A
  • 1st DOPA AGS = (Pramiprexole, Ropinirole)
  • Levodopa, Gabapentin
  • benzos/opiates
  • IRON supplements
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8
Q

Guillan Barre

A

*Plasmapheresis
*IVIG
*Prednisone
+/- mechanical ventilation

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9
Q

Myesthenia Gravis

A
  • AchE BLOCKERS = (Pyrostigmine/Mestinon) + PREDNISONE
  • ACUTE = IMMUNOSUPPRESSION Rx (cancer risk), Plasmapheresis, IVIG,
  • THYMECTOMY
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10
Q

Multiple Sclerosis

Acute + Relapse/remitt/progressive

A
  • *Acute**
  • IV corticosteroids
  • IF NO BETTER THEN: Plasmpheresis
  • *RELAPSE/REMIT, PROGRESSIVE DZ**
  • Immunomodulating Rxs
  • B - Interferon
  • Natalizumab - (JC Virus -> PML!!!)
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11
Q

Bell’s Palsy

A
  • Prednisone (w/in 72 hrs onset)
  • Acyclovir
  • artificial tears/patch/pain control
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12
Q

Tension HA

A
  • NSAID/Aspirin/Aceta
  • Combos w/ Caffeine
  • Heat/warm bath
  • TCAs (Amitriptyline)
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13
Q

Migraine HA

A
  • *S/s**
  • *Triptans (BEST)
  • *Ergtamines (5HT1ags)

::EXTRA::
Dopa blockers = Metoclopramide

Long-term
Anti HTN = B-blocker, CCB
Anticonvulsant

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14
Q

Trigeminal Neuralgiia

A

Carbamazepine
gabapentin

Glycerol injection

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15
Q

Cluster HA

A

ACUTE = 100% O2
*Triptan/ergot/opiate

PROPHYLAXIS = Verapamil

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16
Q

Idiopathic Intracranial HTN

A

Acetazolamide

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17
Q

Normal Pressure Hydrocephalic

A

Ventriculoperitoneal shunt

*shunt revisions w/ time

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18
Q

Concussion

A

Rest

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19
Q

Alzheimer’s

A
  • MILD : Donepezil, Galantamine, Rivastigmine = AchE BLOCKER
  • SEVERE : Memantine = NMDA BLOCKER
20
Q

Benign Meningioma

A

NO SURGERY (watch + wait)

21
Q

NML

A
  • Discontinue Rx
  • dopa ags
  • Muscle relax = Dantrolene
22
Q

Serotonin Syndrome

A
  • Discontinue Rx
  • Hyperthermia = Benzo
  • LAST RESORT = Serotonin blockers
23
Q

Ischemic Stroke

A 
*rT-Pa w/in 3-4.5 hrs
3-4.5 hour no elderly
*lower BP
*Dysphagia
*Aspirin, long-term anticoag = DVT/PE/Future stroke
24
Q

Intraparanchymal Hemorrhage

A
  • Hemostasis
  • BP Management
  • Seizure prophylaxis
  • Surgery = (hydrocephalus, compression, herniation)
25
Q

Aneurysmal SubArach Hemorrhage

A
  • early prevention of bleed

* Clipping/Coiling aneurysm

26
Q

Bacterial Meningitis

A

IV Vanc + Ceftriaxone

  • elderly? –> +Ampicillin (listeria)
  • NO steroids in USA
27
Q

Fungal Meningitis

A
  • IV antifungal (monitor Hepatic)
  • ICP? Shunt
  • Fluconazole (life-time)
28
Q

Creutzfeldt-Jakob dz

A

Nothing

*Hugs

29
Q

Subarachnoid Hemorrhage

A
  • Neurosurgery = decompression

* Watch ICP = anti-emetics, Anti-HTN

30
Q

AVM

A

Excision

Cauterization

31
Q

Aneurysm

A

Clipping

Coiling (only if neck)

32
Q

Dystonia

A
  • Chemodenervation

* Rx = Dopaminergic, Dopa depleting Antichol

33
Q

Tardive Dstkinesia

A

STOP Rx

34
Q

Peripheral Sensory Neuropathy PSN

A
  • Gabapentin = (ANTI-CONVULSANT)
  • TCA/SNRI = (ADD)
  • Tramadol = (WEAK MU OPIOID)
  • Lidocaine patches
  • alpha lipoic acid
  • healthy lifestyle
35
Q

Carpal Tunnel Syndrome

A

Night splint
NSAID
Surgery
PT

36
Q

Herpes Zoster

Tx w/in (time)

A

72 hours

37
Q

Post-Herpetic Neuralgia

A

*Gabapentin
ANTICONVULSANTS

*ADD

38
Q

PT Goals

A

Recover vs. Compensation

Prevention

39
Q

Vascular Dementia

A
  • Memantine = (AchE Blocker)

* PT/OT

40
Q

Frontotemporal dementia

A
  • SSRI - (decrease disinhibition)

* Olanzapine - ATYTPICAL ANTI-PSYC

41
Q

Epilepsy

A
  • Phenytoin, Vaproate, Carbamazepine - ANTI-SEIZURE
  • Epilepsy Surgery
  • Neuromodulation = Vagal N stimulation, Responsive Neurostim
  • Diet = Keto, atkins
42
Q

Most Seizures

A

Phenytoin
Valproate
Carbamazepine

43
Q

Generalized, Non-Convulsive Seizures

A

Ethosuximide

Valproate

44
Q

Status Epilepticus

A
  • airway
  • Lorazepam
  • iF NO : Phenytoin
  • IF NO: Phenobarbetal + general anesth
  • if need = glucose
  • if alcoholic = thiamine + magn
45
Q

Syncope

A
  • Underlying cause
  • Glucose + Hydration
  • Rx Dose decrease

Neurology (20 decks)

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