EXTRA Flashcards

1
Q

Neurofibromatosis

A

Type 1:
cafe au lait spots
axillary/groin freckles

Type 2:
bilateral vestibular schwanomma

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2
Q

Neuroleptic Malignant Syndrome

A

seen when starting an antipsychotic
stopping/reducing dose of a Parkinson’s drug

distress
pyrexia
muscle rigidity
tachycardia, hypertension

stop drug

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3
Q

Neuropathic pain management

A

amitriptyline/duloxetine/gabapentin/pre-gablin

try one of the others

used as a monotherapy

tramadol for exacerbations

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4
Q

Normal pressure hydrocephalus

A

reduced CSF at the arachnoid villi

signs:
urinary incontinence
dementia
gait abnormaliity

management:
shunting

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5
Q

Pituitary apoplexy

A

enlargement of pituitary tumour secondary to infarction

signs;
sudden onset of intense headache
hypotension, hyponatraemia
bitemporal superior quadratic defect
extra ocular palsies

management:
steroids
supportive

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6
Q

Restless Legs Syndrome

A

uncontrollable movement of legs, starts at night can progress to day

FH
iron deficiency anaemia

active stretching, exercise
manage anaemia
dopamine agonist

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7
Q

Thoracic Outlet Syndrome

A

neuro/vascular damage to the brachial plexus

causes:
injury
presence of cervical rib

neuro:
wasting, numbness and tingling of muscles, especially in hands
autonomic - cold

vascular:
swelling, ulcer

management:
supportive measures
surgery if severe

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8
Q

Tuberculosis Sclerosis

A

genetic disorder affecting kids

hypopigmentation 
ash leaves
leathery plaque
cafe au lait spots
angiofibroadenoma on face

development delay
epilepsy

supportive management

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9
Q

Pontine Haemorrhage

A

complication of chronic hypertension

low GCS
quadripelgia
miosis
absent horizontal eye movements

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