Internal Med Neurology Flashcards
s/s of bells palsy
unilateral weakness of facial muscles
diagnosis of bells palsy
clinical
treatment of bells palsy
- prednisone
- valacyclovir
s/s of cerebral aneurysm rupture
thunderclap HA
s/s of cluster HA
- ipsilateral autonomic sx (HA, sweating, skin flushing)
- grouped attacks over weeks to months
Treatment of cluster headaches
high flow oxygen with non-rebreather
etiology of complex regional pain syndrome
follows trauma
s/s of CRPS
- neuropathic pain
- swelling, erythema, edema
- joint fibrosis and stiffness
diagnosis of CRPS
- clinical
- increased uptake on bone scan
treatment of CRPS
- NSAIDS
- add neuropathic pain med
- Lidocaine
- Bisphosphonates if abnormal uptake on bone scan.
etiology of encephalitis
herpesviruses
s/s of encephalitis
- fever
- n/v
- HA
- altered mental status
- meningeal signs
diagnosis of encephalitis
CSF PCR amplification
treatment of encephalitis
- antivirals
- neuro checks
s/s of essential tremor
- bilateral
- goal directed movements
- resolves with rest and alcohol
- exacerbated by stress
diagnosis of essential tremor
clinical
treatment of essential tremor
- propranolol
- primidone
Etiology of giant cell arteritis
Autoimmune vasculitis
s/s of giant cell arteritis
- jaw claudication
- temporal HA
- scalp tenderness
- Vision loss/changes if severe
diagnosis of giant cell arteritis
temporal artery biopsy
treatment of giant cell arteritis
high dose steroids
etiology of GBS
Autoimmune process stimulated by viral or bacterial infection (campylobacter jejuni or CMV MC i think)
s/s of GBS
- paresthesias in feet and works proximally
- pain
- proximal muscle weakness
- paralysis
- diminished DTRs
diagnosis of GBS
LP with CSF analysis