Intro to Neuro Flashcards

1
Q

What does a hemiplegic gait look like

A

Affected leg is held extended and internal rotated

Foot is inverted and plantar flexed

Leg circumducts at the hip

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2
Q

What does a diplegia gait look like

A

slow and stiff with legs crossing in front of each other(scissoring)

often associated with cerebral palsy

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3
Q

What does a cerebellar ataxic gait look like

A

Wide-based and may be associated with staggering/reeling as in drunkness

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4
Q

What is a sensory ataxic gate

A

wide based

feet slap to the floor

Patient may watch their feet

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5
Q

What is a neuropathic or stoppage gait

A

inability to dorsiflex the foot

results in exaggerated elevation of hip/knee

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6
Q

What is a dystrophic gait

A

pelvic muscle weakness that produces a lordotic/waddling gait

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7
Q

What is a Parkinson’s gait

A

flexed posture
starts slow
small steps w/ shuffling

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8
Q

What is a choreic gait

A

Jerky and lurching
-falls are rare

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9
Q

What is an apraxic gait

A

difficulty initiating walking
once walking gait is slow/ shuffling

*no difficulty w/ leg movements when not bearing any weight

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10
Q

What is an antalgic gait

A

favoring one leg over the other

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11
Q

What should opening CSF pressure be

A

7-18cm

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12
Q

What should glucose in the CSF measure

A

50-80

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13
Q

What should total protein in the CSF be

A

15-60

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14
Q

What should cell count be in the CSF

A

0-5 WBC only

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15
Q

When should an LP be preformed

A

concern for meningitis
Suspected SAH
Unexplained seizures
IT chemo
AAA repare
myelogram

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16
Q

Contraindications for LPs

A

Infection near puncture site
access or tumor
anticoagulation
thrombocytopenia
complete spinal block
non-communicatinh hydrocephalus

17
Q

What labs should be ordered with a stroke

A

CBC
Inflammatory markers
Serum. glucose
Lipids