Hon Review Flashcards
transient global amnesia
casue
presentation
neuro signs?
recurrence?
- cause i unknwon
- manifests as 3-4 hrs in which pt has no memory
- know their name, forget what they are doing and why they are at a certain place,
- no neurological signs
- almost never recurs
what defines consciousness
awareness of:
self and surrounding
approach pt that is in alterd state of consciousness, first steps
trying to identify the cause
nature of process and anatomical location of the problem
lewy body disease (diffuse lewy body disase)
-presents with what
-mental status exam results
-who gets it most
-
pt presents with hallucinations early, usually see children and small animals
- physicaly see bradykinesia, no tremor, rigdity (slow and stiff)
- frequent falls
- do reasonably well on mental status exam
- old person disease
- periods of time lasting days where they are really confused, then resolves on own
alzheimers
- presentation
- mental status exam
- late sympoms and early
short term memory loss early
- difficulty coming up with words like peoples names and objects
- forget where they placed things, apts
- miss points on mental status exam
- on the exam cannot draw clock well
- as disease progresses get delusions and hallucinations and paranoia come late
schizophrenia
get audiotry hallucination
if someone has a stroke and then 6 months later still cannot understand what people are saying and does not improve, this is called
vascular dementia
most people do or do not have aura before migraine
do not
what is aura
happens sometimes before migraine
visual symptoms that last 15-30 mintues
nausea, sometimes vomiting, photophobia
what can trigger migraine in women
menses, ovulation
migraine is a disease of what people
young, more in women
migraine with an aura is
classic migraine
migraine without aura is
common migraine
worrisome signs of migraine
worst headache of life, first time having this, fever with it, focal neuro signs, abrupt onset
subarachnoid hemorrhage
if doesn’t show up in CT get a lumbar puncture to lok for blood bc sometimes won’t show up in CT until later on
cluster headache presentation
- how long
- unilateral or bilateral
- what sex, and recurrence?
- what time of year
icepick in periorbital region unilateral last 30 mintues or so more often in men, recur in same day -in classic form occur seasonally from early nov to christmas time
chronic migraine
how often
what btwn
history that sounds like migraine
- about 15 or more headaches a month for a period of 3-4 months
- in last 5 yrs headaches have increased in severity and amt
- in btwn migraines have dull moderate headaches 20-25 days a month for last 2 years
treatment for chronic migraine
botox injection
beta blockers like propanolol, AEDs, and TCAs
-valproic acid and topiramate
trigeminal neuralgia
presentation
treatment
triggers
sharp shooting pain that lasts for a few seconds and recurs during the day often
- severe pain
- carbamazapine or oxycarbamazapine for treatment
- triggers for this can be eating or drinking really hot or cold substances, talking can be trigger too
wilson’s disease
age group too much what how to test involves what organs presentation
young person disease too much copper get 24 hr urine excretion of copper and serum ceruloplasmin level involves brain and liver bradykinetic and hyperkinetic
treating wilson’s disease
chelating agent like penaciliamine
parkinsons disease
resting pill rolling tremor (hands at rest)
when put hands out tremor gets better
dementia with 50% of cases
orthostasis from dysautonomia (occurs later in disease)
-
if dysautonomia is rigid and slow and pronounce then probably what disease
-if above with voluntary gaze problems then what disease
MSA not parkinsons
PSP
MS wax and wane period called
relapse/exacerbation and remission
