NEURO Flashcards
CN I
Nose
CN III, IV, VI. EXAM
EOM:
CN IV
superior oblique muscles
CN V
Trigeminal Herpes. CORNEAL ABRASION
CN VI
lateral muscles
CN VII
Facial BELLS Palsy
CN VIII
ears
CN XI
Shoulder shrug/ ROMBERG test (balance)
Migraine preventive
(propranolol) TCA (Amitriptyline) Anticonvulsants (gabapentin, topiramate)
Migraine abortive
Triptans
Cluster headache
High dose O2 via Mask 12L 100%, Imitrex (abort) and a CCB for prophylaxis. VERAPAMIL
BPPV
Dix Hallpike maneuver. Primidone, or propranolol
Fibromyalgia
11/18 points. Widespread pain for at least three months
SAH
worst headache of my life: may experience sentinel headache few weeks prior. S/sx of meningitis. Falls in elderly or MVA younger
SDH
skateboarding concussion. Diagnosed with CT (Never do Contrast if you suspect a bleed
MMSE
< 24 = dementia
Trigeminal Neuralgia
compression of nerve root possibly. Unilateral facial pain close to nose/cheeks. Sharp shooting pains by eating etc. TREATMENT: high doses of anticonvulsants. MRI / CT. AKA TIC DOULOUREUX
Temporal arteritis
one temple indurated cord like gold stand. Biopsy. Abrupt visual changes blindness, inc. ESR. CPR. Most have POLYMYALGIA RHEUMATICA. Treat high dose steroids
POLYMYALGIA RHEUMATICA
bilateral joint stiffness aching, shoulders neck hips and torso problems with dressing. 50 or older females.
Carpal tunnel
MEDIAN NERVE, Tinel’s sign t=tapping. Phalen’s sign- putting phingers together
ABSENCE SEIZURE
AKA PETIT MAL SEIZURE: SUDDEN BRIEF LAPSES OF IN ATTENTION
FEVER
DECREASES SEIZURE THRESHOLD