Neuro Flashcards
Progressively worsening shaking of hands
Sx occur at rest and with movement
Sluggish, difficultly maintaining balance
Fixed facial expression, infrequent blinking
Seborrhea on face
What is it? Tx?
Parkinsons
Levodopa is most effective tx
Amantadine for mild cases
What nerve injury would lead to foot drop
Peroneal Nerve
Bacterial Meningitis has what lab values for CSF
Low Glucose High PMN's (neutrophils) High Protein High opening pressure May be clear or cloudy in apperance
Unilateral throbbing headache
N/V, photophobia
What is it? Tx?
Migraine Headache
Triptan is abortive
Blurred vision, worse with lateral eye movement
Sensitive to heat
Pins and needles sensation distal to left knee
What is it? Dx (what do you see)?, Tx
Multiple Sclerosis
MRI shows demyelination of periventricular white matter and dorsolateral spinal cord
Decreased sensation to lateral thigh and anterior shin
Weakness in dorsiflexion of great toe, right lower extremity
What nerve root?
L5
Diminished patellar reflex
Numbness to medial foot
L4
Diminished ankle relfex
Numbness to lateral foot
S1
What population is most at risk for SAH
American Americans
Smokers
Chewing triggers lancinating facial pain that starts at left side of mouth and radiates to eye/ear
What is it?
Trigeminal Neuralgia
Ascending weakness Starts in feet, knees, calves, then hips and thighs DTR are decreased What is it? Tx?
Guillain-Barre
Plasmapheresis
Bacterial Meningitis, pathogens and tx <1 month 1 month - 18 years 18 years - 50 years >50 years
<1 month -Group B Strep, Listeria, E. Coli, S. Pneumo -Tx: Ampicillin + Cefotaxime 1 month - 18 years -N. Meningitidis, S. Pneumo, H. Flu -Tx: Vancomycin + Ceftriaxone 18 years - 50 years -S. Pneumo, N. Meningitidis, H. Flu, Listeria -Tx: Vancomycin + Ceftriaxone >50 years -S. Pneumo, Listeria, Gram Negatives -Ampicillin + Cefotaxime
What nerve DERMATOMES innervate the following: Thumb Middle Finger Ring and Little Finger Thigh Medial calf and foot, big toe Lateral calf and foot, small toes
Thumb: C6 Middle Finger: C7 Ring and Little Finger: C8 Thigh: L4 Medial calf and foot, big toe: L5 Lateral calf and foot, small toes: S1
What nerve MYOTOMES innervate the following: Deltoid Biceps Triceps Interosseous Quadriceps (extend leg) Tibialis Anterior (Dorsiflex) Gostrocnemius (Plantarflex)
Deltoid: C5 Biceps: C6 Triceps: C7 Interosseous: C8 Quadriceps (extend leg): L4 Tibialis Anterior (Dorsiflex): L5 Gostrocnemius (Plantarflex): S1
What nerves involve the following DEEP TENDON REFLEXES Biceps Brachioradialis Triceps Patellar Achilles
Biceps: C5, C6 Brachioradialis: C6 Triceps: C7 Patellar: L4 Achilles: S1
