EM - Neuro Flashcards
s/s of bells palsy
-acute onset facial paralysis
diagnosis of bells palsy
clinical
treatment of bells palsy
prednisone and valcyclovir
MCC of encephalitis
herpesviruses
s/s of encephalitis
-fever
-n/v
-altered level of consciousness
-seizures
-psych sx
-focal neuro deficits
diagnosis of encephalitis
-spinal tap with CSF analysis
-MRI
treatment of encephalitis
-seizure control with lorazepam
-neuro checks
-antivirals
vessel involved with epidural hematoma
middle meningeal
s/s of epidural hematoma
-LOC followed by lucid interval
-quick decompensation
treatment of epidural hematoma
-emergent evacuation
etiology of subdural hematoma
-tearing of veins
MC population to find subdurals in
elderly due to atrophied brains
s/s of subdural hematoma
-HA
-seizures
-neuro sx
diagnosis of subdural hematoma
CT
treatment of subdural hematoma
craniotomy
etiology of GBS
-campylobacter jejuni
-CMV
s/s of GBS
-paresthesias
-pain
-proximal muscle weakness leading to paralysis
-tachycardia
-diminished DTRs
diagnosis of GBS
-spinal tap
-electrodiagnostic studies
treatment of GBS
-hospitalization until plateau period
-bedside PFT
-plasmapheresis or IVIG
-NSAIDs
MC spread of bacterial meningitis
hematogenous
MCC of bacterial meningitis in adults
Strep pneumoniae
s/s of meningitis
-HA
-fever
-nuchal rigidity
-meningeal signs
-AMS
-n/v
-meningococcal rash in N. meningiditis
diagnosis of meningitis
lumbar puncture
if there are signs of elevated ICP…
do a CT first
