Last minute prep Flashcards
Define Akathisia
restlessness/ inability to sit , feel need to be in constant motion
Enteric nervous system
Governs GI and is separate from ANS, though embryo-logically they form similarly.
What the mech of organophosphate posioning?
Destroys AchE
Hirschsprung disease
Failure of neural crest cell migration. Constipation, megacolin.
Apraxia
loss of coordinated movement w/o muscular of sensory imparment
Myelopathy
disease of spinal cord
Ptosis
droopy eye lid
paresis
weakness of voluntary movement
palsy
paralysis
Agnosia
diminished ability to recognize familiar objects or stimuli
Gerstmann syndrome
destruction of interior parietal lobe- can’t write name….and more.
Kernig and Brudinski signs
K=painful hip extension
B-flex neck flex legs
Both test for meningitis
What is tetrahydrabiopterin used for?
Conversion of tryptophan into serotonin
anisocoria
pupils different size (20%) pop can be harmless or sign of something serious. Check in dark
Potts disease
extrapulmonary TB. Base of brain in menigis. Epidural graulomatis massBruxism
Pacinian/lamellar corpuscles
mechanoreceptor
Bruxism
teeth grinding
Aphasia
disturbance in language comprehension and expression
Coning?
cerebellar tonsils move down and through the foramen magnum
Whats a coup contusion
When the cerebral contusion occurs at the point of impact
What is a contra coup contusion?
When the occipital area strikes the ground in a backward fall, the resulting abrasions are prone to occur on the contralateral side of the brain opposite the point of contact, i.e. in the frontal or temporal cortex.
Strait back fall =contusion in frontal or temporal cortex
left occipital lobe=right frontal or temporal contusion
Restlessness or akathisia maybe a side effect of which drug? How do you prevent this side effect? What’s the drug used for?
Prochlorperazine
Use Benadryl to prevent restlessness
Antidepressant used to treat migranes
other side effect is extrapyramidal/dystonic effects (neurologic movement disorder)
What are CSF findings that would help you determine you were dealing with acute bacterial meningitis?
Elevated-opening pressure (puncture), proteins, WBC/PMNs
Decreased- Glucose, CSF serum/glucose ratio
Turbid
Culture and Gram stain-show most of the time.
Lambert-Eaton syndrome?
Ab against VG Ca2+ channels
Triptan (5-HT receptor agonist) sensitization induces what type of neurologic problem?
medication overuse headache (MOH)
Receptor tyrosine kinases are associated with what good and bad things?
growth
uncontroled growth-cancer
