neuro Flashcards

1
Q

epidural hemtoma

A

key lime pie
MMA
commonly have a lucid period

need to do a ct

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2
Q

hemifacial spasm

A

half the face, some or all muscles start twiching in the muscles supplied by facial nerve. either an artery irrating the nerve, damage to the nerve itslef or compression by tumour etc.

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3
Q

signs of tia

A
  1. vision problems
  2. weak muscles
  3. speech problems
  4. dizzines
  5. migraine big dx for stroke
  6. sensory changes
  7. involuntary movements twitching?
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4
Q

defintion of tia

A

transiset loss of blood flow to the brain and symptims usually resolve within 1 hour

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5
Q

if you suspect a tia what do you do

A
  1. ct head to dx from stroke
    2.iniate 300 initially
  2. start patient on antiplatelet therapy 75 mg

lifestyle advice

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6
Q

main culprit in tia which vessel

A

carotid artery (braches)

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7
Q

subdural hematoma

A

elderly, alcoholics
banana
bridging veins

ct head

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8
Q

common peroneal nerve

A
  1. brach of the sciatic nerve
  2. job sensory (dorsum of foot and lateral lef) and motot- supplies some of the muscles of the leg
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9
Q

baclofen

A

a muscle relaxant

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9
Q

how to test for common perineal nerve injury

A
  1. patient may loose the ability to dorsiflex foot
  2. evert the foot
  3. numbness in area
  4. gait, dragging the foot or slapping the foot down
  5. heel walk (but dont do if balance is really bad)
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10
Q

what is number 1 diagnosis for MS

A

BRAIN IMAGING MRI
lumbar is not first line

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11
Q

what corticosteorid do we give in acute attack of MS

A

IV METHYLPRED

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12
Q

sensory arm dematomes describe

A
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13
Q

Decorticate

A

Arms to the CoRE of the body
Flexion
Not as bad as decerebrats

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14
Q

Decerebrate

A

The worst one 2 on Glasgow coma score
Arms curled outwards
Extension

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15
Q

Difference between decorticate and decebrebate

A
  1. Whether or not arms are bent at elbows
  2. One of them is worse!
16
Q

Notorious drugs that cause sedation

A

Benzos
Opioids

17
Q

What is AEIOU for

A

Altered mental status

18
Q

Opioids triad

A
  1. RR
    2.miosis
  2. Altered status