Neuro 3 Flashcards
one-sided HA that has recurrent severe and stabbing pain behind one eye that is accompanied by lacrimation, nasal congestion, rhinitis, and conjunctival injection/red eyes
cluster HA
cluster HA acute tx
high dose oxygen
triptans Sq or intranasal
cluster HA prophylaxis - frequent and infrequent attacks
frequent - CCB verapamil is drug of choice; avoid grapefruit juice
infrequent - glucocorticoids
HA that gradual comes on, throbbing, over one eye, photophobia, phonophobia, NV, lasts 3-72 hours
migraine HA
migraine HA pharm mild to mod attacks
3
NSAIDs
tylenol
antiemetic
migraine HA pharm mod to severe attacks
oral triptans or combination sumatriptan-NSAID/naproxen
HA - symptoms resemble a stroke, tinnitus, diplopia, bilateral visual field symptoms, bilateral paresthesia, vertigo, dysarthria
migraine w/ brainstem aura
HA - bilateral, non throbbing HA of mild to mod intensity, band like sensation, typically w/o features
tension type HA
tension HA med
NSAIDs first, then tylenol
HAs - acute tx classes
3
NSAIDs
triptans
analgesics
HAs - prophylactic classes
tricyclic antidepressants
BBs
SNRIs
SSRIs
anti seizure meds
CN VIII is responsible for both what function
hearing and vestibular (i.e. Romberg test)
Achilles reflex is what nerve root
S1
which other conditions is closely linked with developing GCA
polymylagia rheumatica
risks factors for recurrent ischemic stroke after a TIA include
7
- age 60 +
- hx of TIA or ischemic stroke w/in 30 days of index event
- DM
- BP 140+ or DBP 90+
- unilateral weakness
- isolated speech disturbance
- TIA >10 mins
triptan drug class should be avoided in patients with
6
hemiplegic or basilar migraines
ischemic stroke
ischemic heart disease
prinzmetal’s agina
uncontrolled HTN
pregnancy
all triptans should be limited to less than ___ days of use per month to avoid overuse HA
<10 days
CN for tongue movement
CN XII
CN II tests what
distant and near vision test, testing for visual fields by confrontation and extinction
CN - raise eyebrows, squeeze eyes shut, puff cheeks
CN VII
two acute initial therapies for cluster HAs
oxygen
triptans
drop seizures aka
atonic seizures - sudden loss of control of the muscles, usually the legs, which causes the patient to fall to the ground
muscle stiffness along w/ impaired consciousness
tonic szs
med indicated for acute tx of a mod to severe migraine attack
sumatriptan
characterized by non-fluency with sparse output and incorrect grammar
Broca’s aphasia
fluent aphasia with impaired comprehension
Wernicke’s aphasia
triple abx therapy for bacterial meningitis
vanco + ceftriaxone + ampicillin
