Neuro 6 Flashcards
viral encephalitis is usually due to __
look for F/HA/stiff neck
gram stain/culture should be __
if parotitis is present, then virus may be ___
enterovirus
negative
mumps
middle ear cavity contains M/I/S and TT/S
stapedius is innervated by __ nerve, branch of CN 7
paralysis of stapedius leads to stapes oscillating widely, resulting in __
pt is very sensitive to __ sounds
__ muscle arises from cartilage portion of auditory tube, inserting to __
contracts __, inc tension and dampening ___
innervated by CN __ (_ portion)
hyperacusis can present w __
malleus, incus, stapes
tensor tympani, stapedius
stapedius
hypeacusis
everyday
TT, malleus
tympanic membrnae, sound
V3, mandibular
Bell palsy
B12 deficiency results in destruxn of __/__ tracts
leads to loss of __/__ w __ paresis
dorsal column, lateral CS
prop/vibration, spastic
__ is most common neuro disorder affecting kids
see seizure w high __
__ is tx
antipyretics like A/I inhibit __ synthesis
lowers __
__ is contraindicated, as it can raise __
use active cooling for __
febrile seizuee
temp supportive care acetominophen/ibuprofen PGE2 temp
active cooling, body temp
heat stroke
__ is AR disorder of ashkenazi jews
deficiency in ___, results in accumulation of __ w/in lysosomes
progressive neuro dys as __ accumulate in brain
weak, seizure, blind, spastic
PE shows abnormal __ reflex and M, __ macula spot
losss of retinal transparency due to __ buildup in ganglion cels
Tay Sachs
B hexosaminidase, GM2 ganglioside
glycolipids
startle, macrocephaly, cherry red macula
ganglioside
__ disease has galactocerebroside accumulate
progressive neuro degen w __ neuropathy and __ atrophy
__ disease is globotriaosylceramide accumulation
see angiokeratoma, __ and __
__ disease has B glucocerebrosidase accumulation and hepatomegaly
Niemann pick has __ accumulation and similar presentation but w __
Krabbe, peripheral, optic
Fabry, PN, glomerulopathy
Gaucher
sphinomyelin, HM
__ disease is deficient in G6Pase
HM, hypoGly, and __
__ disease is lysosomal a 1/4 glucosidase def
see cardiomegaly and hypotonia
Mucopolysaccharidoses include __/__ syndrome
see __ accumulate w coarse facies/skeletal abnorms
Von gierke, LA
Pompe
Hunter/hurler
GAG
entacapone is a __ that inhibits peripheral methylation of LDOPA
_ is common cause of rapid onset sepsis/circ collapse in otherwise healthy indiv
look for __/__ rash due to DIC
severity of dz due to __, an endotoxin upon bacterial lysis
bind to TLR 4, causing release of inflam cytokines __/__/__
leads to __ damage, __ leakage, __ necrosis
COMT
N men
petechiae/ecchymotic
LOS
Il1/IL6/TNF
endothelial, capillary, hemorrhagic
__ is 1st line, __ is second line for absence seizures
phenytoin prvents Na channels from recovering from ___
Carb/valproic block __ Na channels
ethosuximide, valproic acid
inactivation
voltage gated
__ is a brain tumor w whorled pattern of cells
can have __ bodies
occur at __/__ region of brain
can have __ w compression of ceberal cortex
Ha/N/V all other SE due to __ that worsens w ___
__ is a suprasellar tumor in kids
cords/nest of palisading __ epithelium
__ is a malignant tumor in adults w atypical __ forming pseudopalisading cells
__ involves white matter of cerebra hemispheres
has __ appearance
meningioma psamomma falcine/parasagittal seizure inc ICP, recumbency
craniopharyngioma
squamous
glioblastoma
oliodendrogliomas
NF caused by mutation in NF1 gene on chromosome __
may have __ gliomas
spenoid __, pseudo__
also assc w __
17
optic nerve
dysplasia, arthrosis
brain tumors
__ blocks voltage gated sodium channels in partial/generalized seizures
SE is rash of __/__
may have __ sx
look for epidermal __
SJS/TEN also seen w C/P/P
lamontrigine
SJS/TEN
flu like
necrosis
carbamezipine, phenytoin, phenobarbitol
acute onset of neuro sx like weakness, blindess, diplopia, seizure w stress is __ dx
lack of voluntary __/__ function w/out actual problems
patient will be __ to sx
factitious do patient like the __ role
conversion do
motor/sensory
indifferent
sick role
__ contains C5-T1 spinal nerves
passes bw __/__ scalenes in posterior neck
interscalene nerve block used for anesthesia for __ procedure to block BP
can lead to ipsi __ paralysis due to phrenic nerve
avoid in patient w ___ or __ phrenic nerve dysfxn
brachial plexus
medial/anterior
shoulder
diaphragmatic
CLD, contra
Craniopharyngioma is __ or partially __
filled w brown/yellow fluid due to presence of __ crystals
dystrophic __ of cysts is characteristic
derived from remnant of __ lining oral cavity
protrusion of roof of mouth forms ___
PP is an outpouching of __ from neuroectoderm
cystic, cystic
cholesterol
calcification
rathke pouch
AP
diencephalon
