Exam 5 Conditions Flashcards
encephalitis
etiology
inflammation of the brain, caused by viral infection, can be caused by immunizations
encephalitis
signs symptoms
red flags
- appear 5-15 days after infected by mosquito, unique to virus, sudden fever, headache, vomiting, photophobia, stiff neck and back, confusion, drowsiness, clumsiness, unsteady gait, and irritability. Due to virus includes rash, lymphadenopathy, parotid enlargement, and hepatosplenomegaly. Symptoms that require emergency treatment include loss of consciousness, seizure, poor responsiveness, muscle weakness, memory loss, sudden and severe dementia, impaired judgement, coma, and paralysis.
encephalitis
diagnose
treatment
early referral if they have severe headache, stiff neck, photophobia, and mental disturbances. Diagnostic test is CSF exam and analysis. Can use antivirals for maintenance. Control seizures and cerebral edema. Prognosis is good depending on the infecting agent and speed of treatment.
aseptic meningitis
etiology
most common viral infection
aseptic meningitis
signs symptoms
red flags
fever, chills, stomachache, painful headache, body aches, photophobia, loss of appetite, vomiting.
aseptic meningitis
diagnose
treatment
can be diagnosed with blood tests and CT scans. Treatment includes rest, plenty of water, medication to help with symptoms and pain.
bacterial meningitis
etiology
Bacterial is potentially life threatening, can cause permanent brain damage.
bacterial meningitis
signs symptoms
red flags
Red flags for bacterial include headache that increases in severity, rapid onset of symptoms, fever up to 104, nausea and vomiting, confusion, drowsiness, progressive lethargy, convulsions or seizures, cervical rigidity, skin rash near armpits, malaise, irritability, photophobia, muscle aches.
bacterial meningitis
diagnose
treatment
immediate referral for patients with severe headache, high fever, and stiff neck. Use supportive treatment. Bacterial is medical emergency, outcome depends on speed of when treatment is begun. Diagnosed by CSF spinal fluid. Use of antibiotics, and supportive treatment.
Guillain-Barré syndrome
etiology
acute, diffuse demyelinating disorder of the spinal roots and peripheral nerves, autoimmune syndrome often severe and rapidly progressive
Guillain-Barré syndrome
signs symptoms
red flags
difficulty with eye muscles and vision, difficulty swallowing, speaking, or chewing, pricking or pins and needles sensations, pain that is severe at night, coordination problems, abnormal heart rate and blood pressure.
Guillain-Barré syndrome
diagnose
treatment
treatment includes intravenous immunoglobulin to replace harmful antibodies. Diagnosis includes lumbar puncture and electromyography
headaches
etiology
vascular can be caused by spasms of vessels surrounding the brain, can be migraine and cluster headaches. Tension headache is from muscular tension on the cervical spine and cranium. Traction and inflammatory headaches result form other disorders.
headaches
signs symptoms
red flags
dull aching head pain, sensation of tightness or pressure across the forehead or sides and back of head. Tenderness of scalp, neck, and shoulder.
headaches
diagnose
treatment
treatment includes rest in a quiet room, hot or cold press on head or neck, pain medicine.
migraine
etiology
altered central neuronal processing and involvement of trigeminovascular system which causes inflammation.
migraine
signs symptoms
red flags
aura, intense throbbing on one side of head, pain with light, noise, and smells, nausea and vomiting, neck pain, sinus symptoms
migraine
diagnose
treatment
diagnosis based on medical history and symptoms, neurological exam. Treatment includes heating pads, warm shower or bath, small amounts of caffeine, and pain medication like acetaminophen.
stroke
etiology
occlusive is embolic or thrombotic, hemorrhagic strokes.
stroke
signs symptoms
red flags
facial drooping, headache, aphasia, dysphasia, hemiparesis, hemiplegia, paresthesia, gait disturbances, incontinence, confusion, agitation, dizziness, and vision problems.
stroke
diagnose
treatment
use FAST and activation of EMS, treatment can include blood thinners, tPA to break up clots, maintain airway, determine blood glucose level, protect paralyzed extremities.
multiple sclerosis
etiology
neurodegenerative, lifelong chronic disease diagnosed primarily in young adults. Gradual accumulation of focal plaques of demyelination of the brain.
multiple sclerosis
signs symptoms
red flags
numbness, depression, vertigo, vision problems, bowel and bladder symptoms, cognitive dysfunction,
multiple sclerosis
diagnose
treatment
no cure, recovering from attacks and slowing progression. Diagnosis relies on ruling out other conditions and thorough medical history and exam.