Neuro Flashcards
What HA needs an immediate referral?
Anything that sounds like a bleed or a stroke, brain tumor (dull/persistent, same spot, N/V, vision problems, change in personality), “worst HA of my life”
Needs CT
A. fib increases risk of what type of stroke?
Ischemic
HTN increases risk for what type of stroke?
Hemorrhagic
TIA symptoms typically resolve within?
1 hour
This is a one-sided HA, with tearing/runny nose, and occurs at the same time every day?
Cluster HA
Treatment for cluster HA?
100% O2 and possibly CCB
One-sided HA with possible vision impairment, temple pain/pulsing, increase ESR.
Temporal arteritis- giant cell arteritis
**High safety alert due to risk of vision loss
Temporal arteritis is seen in patients with?
Polymyatica Rheumatica
How is temporal arteritis diagnosed?
temporal artery biopsy
How do we treat temporal arteritis?
Long-term steroids
Occipital HA typically seen upon awakening?
HTN HA- treat HTN
Difficulty with light/sound, throbbing/pulsating HA, possible N/V.
Migraines
Migraine prophylaxis?
Avoid triggers, BB
Migraine abortive treatment?
Triptans (cannot use in uncontrolled HTN and those on SSRIs)
This affects CN V and is painful.
Trigeminal neuralgia
Treatment of trigeminal neuralgia?
Tegretol (carbamazepine)
TCA (anticholinergic- no elderly, no BPH)
Treatment of Bell’s palsy?
Steroids, antiviral, eye patch
3 main symptoms of Parkinson’s disease?
- Bradykinesia (slowness of movements)
- Tremor (tx with BB)
- Rigidity
Treatment of Parkinsons disease?
Levadopa/carbadopa mix Dopamine agonists (Ropinirole, Pramipexole)
Signs related to Meningitis?
- Brudzinskis
2. Kernigs
This sign think back of the head, when flex back of head it causes patients hips and knees to flex with it d/t meningeal irritation.
Brudzinskis sign
This sign, think knee, will not be able to flex knee past a 90 degree angle without pain.
Kernigs sign
3 As of Alzheimer’s disease:
Aphraxia- difficulty with movement
Agnosia- inability to interpret sensation
Aphasia- loss of ability to understand/express speech
What is CN VIII?
Acoustic
CN VIII tests?
Rinne and Weber
With the weber the sound will lateralize to the unaffected or good ear with what type of hearing loss?
Sensorineural hearing loss
With the weber the sound will lateralize to the affected of bad ear with what type of hearing loss?
Conductive hearing loss
With this disease the patient will typically present with vertigo, tinnitus, ear pressure, and nystagmus. Biggest concern is potential permanent hearing loss.
Meniere’s Disease
This is normal sensioneural hearing loss associated with aging?
Presbycusis
