kefalaio 3 vasilopoulos Flashcards
kiries noitikes leitourgeies
antillipsi(agnwsies,paraisthiseis,psevdesthiseis) ,prosoxi(avksousa seira arithmwn,meiwnete se agxos) , mnimi(amesi ,prosfati kai apoteri) prosanatolismos(xronos xoros perivallon) skepsi(paralirima-anoies parkinson ), sineidisi(epipedo sinidisis kai periexomeno) sinaisthima,eksetasi voulisis(iper i ipokinitikotita)
ti mporei na prokalesei okseia sigxitiki katastasi
metavolikes diataraxes , farmaka ,sistimatikes loimwkseis,i vlavi mono se kns opws agkeiaka egkefalika ca
ipothiroeidismos kai noitikes leitourgeies
xronia proodeftiki ekptosi
arxika i omilia einai fisiologiki alla proodeftika meiwnete i entasi tis
miastheneia
milaei san methismenos ti provlima exei
paregkefalidiki disarthreia
pote exoume enrini omilia
se paralisi iperoas(x)
se poia noso exoume eksopiramidiki disartheia
parkinson
pote exoume spastiki disartheia
als i apfo piramidiki sindromi
se apoleia tis orthognwsias ti exoume
agnwsia (mi anagnwrisi oikeiwn xwrwn kai meri tou idiou somatos-somatoagnwsia)
eidos afasias otan o asthenis den mporei na epanalavei lekseis i fraseis pou tu ipagorevontai
afasia agwgis
poia perioxi vriksete stin iperxeilio elika tou vregmatikou lobou kai anw tmima tou krotafikou lobou
perioxi wernicke
poia perioxi vriskete stin triti metwpiaia elika
perioxi broca
ti einai i praksies
ikanonita tou asthenous na ektelesei
ti einai oi gnwsies
ikanotita tou asthenous na anagnwrisei
poio sindromo kanei ekfilisi ofthalmikou gaggliou kai mporei na siniparxei me katargisi tenontiwn antanaklastikwn
sindromo adie
sindromo me misi stenwsi vlefarikis sxismisenofthalmos anidrosia
horner
pote vlaptete i simpathitiki nevrwsi sto mati
otan exoume provlima stin aliso twn simpathitikwn gaggliwn , sto anw auxeniko gagglio , stin karotida kai se ogko tou anw lovou tou pnevmona ,diaxorismo karotidas
i sklirinsi kata plakas ,isxxaimiki optiki nevropatheia kai aimoragia ston amfivlistroeidi ti mporoun na kanoun optika ston ofthalmo
skotwma
xronio glafkoma kai xronio oidima optikis thilis ti kanoun
stenwsi optikou paidiou
omonimi imianopsia kai diatirisi kentikis orasis
simainei i vlavi exei ginei meta ta eksw gonatwdi somata
to adenoma ipofisis ti anopsia kanei
eteronimi imianopsia (amfikrotafiki ) twn anw tetartimoriwn
pote den vlepei o asthenis oute o giatros tin vlavi
oidima thilis, thilitida ,opisthobobliko vevritida
opisthovovliki nevritida
otan oi ofthalmoi den kinountai taftoxrona …exoume
diapiriniki ofthalmopligia(vlavi tis esw epimikous desmidas)apomielinwsi
se poio nevro exoume paresi otan to pathologiko mati strefete pros ta katw kai eksw (me vlefaroptwsi)
koino kinitiko
sixno aitio paresis koinou kinitikou
anevrisma opisthias anastomotikis artirias
vlavi tou iperkogxiou sxismatos
exoume vlavi olwn twn nevrwn tou to diapernoun(3 4 6 sizigia)
poios nistagmos den eksantleitai den exei iligko kai den epireazete apo tin kathilwsi ?
o kentrikos
pios nistagmos eksantleitai , exei iligko , veltiwnete me tin kathilwsi vlematos
o periferikos
xaraktiristika siggeni nistagmou
isoxronos me adynamia kathilwsis
poia nevra pernoun apo to opisthio rigmatwdes trimma(sfagitidiko)
glossofariggiko ,pnevmonogastriko , paraplirwmatiko
diakritiki ikanotita gia roges daktilwn
2-5 mm
diakritiki ikanotita anw epifaneia tis akras xeiras
2-3 cm
2 ikanotites epikritikis floiwdous epeksergasias
grafaisthisia kai stereognosia
poies nosoi katasrefoun tin faia ousia ston notiaio mielo
siriggomielia kai aimatomialia
poies nosoi katasrefoun tis opisthies desmes
aneparkeia b12 , sifilis ..travma ,ogkos ,sk kata plakas
eksetasi kinitikotitas
episkopisi ,miikos tonos ,miiki isxis ,antanaklastika
ti exei aftos pou kanei vradeia aposispasi tou mios meta apo sfiksimo
miotonia
pote exoume spastikotita
nosos kentrikou kinitikou nevrwna
pote exoume ipotonia
se periferiki paralisi i kai vlavi tis paregkefalidas
diskampsia
se parkinson
miotonia
se miotoniki distrofiia, siggeni miotonia
posotiki ekfrasi twn fisiologikwn antanaklastikwn miotatikwn
2+ (4+ klonos , 0 apousia)
i periferini nevropatheia i i pareggefalidiki vlavi ti mporei na kanoun sta antanaklastika
na ta elatwsoun (nothra )
pote exoume babinski (polisinaptiko)
se vlavi tou kentrikou kinitikou nevrwna
ti kanoun oi mies sto babinsky
ektasi megalou daktylou kai apagwgi twn ipolipwn
ti ginete me tin isoropia se paregkefalidiki vlavi
diataraxi en to vathei aisthitikotitas epomenos ,asthatheia me kleista kai anoikta matia(perpatima san methismenos-ataksiko vadisma),
ti mporei na kanei mia paregkefalidiki vlavi
provlima stin omilia ,ipotonia ,nothra antanaklastika kai nistagmo,tromos pou emfanizete mono stin kinisi(simtwmata omoplevrws pros tin vlavi)
apo ti kathorizete to epipedo sinidisis
apo tin leitourgeia tou aniontos diktiwtou sximatismou(apo to stelexos ,aktinovolei sta dio egkefalika imisfairia)
kattoui
apofloiwsi
ektasi twn anw akrwn ston agkwna ,prinismo kai kampsi ston karpo ,ektasi twn katw akrwn
apegkefalismos
kori me megethos karfitsas
opoioeidi i vlavi stin gefira
pote exoume midriasi
kokaini ,antikatathliptika anastoleis xolinesterasis
monoplevri midriasi
o egkoleasmos kanei paresi tou kinou kinitikou
monoplevri misi
horner
giati simvainei to ofthalmokefaliko antanaklastiko?
gia na paramenei i oikona sto kentriko vothrio
endeiktika imiparesis
asimmetria miikou tonou, tenontiwn antanaklaswn ,kinitikis apantisis sta epwdina erethismata
se poio simeio exoume vlavi stin cheyne stokes
amfo imisfairiki i anwteri stelexiaia vlavi
ti prominiei i ataksiki anapnoi biot
anapnevstiki anakopi
apnevstiki anapnoi (paratetameni eispnoi kai apnoia)
gefitiki vlavi
pou exoume tin vlavi otan katargeitai to antanaklastiko tou farigga i emetou?
ston promiki
ct( x rays) pote exoume lefko xroma
se osta apotitanwseis kai prosfato aima(okseia aimoragia)
pote xrisimopoioume us stin nevrologia
gia anadiksi traxilikwn agkeiwn
i diakraniako doppler
spect
simple photon emission computerized tomography(ipologistiki tomografia ekpompis monirous fotoniou)
eny k.f
kittara ews 5 lemfokittara
leukoma 15-45 mg%
sakxaro 60% tis timis tou aimatos
aimoragia iparaxnoeidis
exoume erithra aimosfairia sto eny pou an figokentrithei dinei ksanthoxrwmatiko xrwma
Auksisi lefkoma sto eny exoume otan
guilain barre (leukomatokittarikos dixasmos) kai apokleismo rois eny
pote exoume parkinson otan exoume mikrovimatismo
itan den kouniountai ta xeria ,giati an kouniountai exoume artiriosklirinsi
pote exoume apraksiko vadisma(otan o asthenis den kserei na vadisei)
vlavi tou metwpiaiou lovou
eidi vadismatos
apraksiko,siromena-agkeiaki egkefalopatheia ,drepanizon,psalidwto(amfo piramidiki)…parkinsoniko,paregkefalidiko-methismenos ,ataksiko anipswnei poli to podi o xi en to vathei ,niseio ,dikroto vlavi peroniaiou
aitia disarthrias
paregkefalida-methismenos,eksopiramidiki-monotoni xamilofoni ,spastiki bradeis diskoli,paralisi tou prosopou,miastheniki -meiwnete me tin omilia
sizigis apoklisi ofthalmwn
an einai sto stelexos einai omoplevra pros tin vlavi ,an einai sta imisfairia antiplevra me tin vlavi