Neuro Flashy Flashcards
CSF features of CJD (4)
Neuron specific enolase
14-3-3 protein
S100
Tau protein
Mri of CJD s/0
Signal amplification in:
Basal ganglia
Head of caudate
Triad of Ménière’s disease
Vertigo
Hearing loss
Tinnitus
Symptoms of hyponatremia due to SIADH
Loss of appetite
N/V
Seizures
Altered level of consciousness
Dx of IIH
LP-pressure >20-25
Normal CSF
MOA of acetazolamide
Decrease CSF production in choroid plexus
Mees lines suggest exposure to ….
Arsenic
Rx for arsenic toxicity
Gastric lavage
Activated carbon
Dimercaprol,succimer
C/f of lead toxicity (3)
Behavioral probs
Gingival hyperpigmentation
microcytic hypochromic anemia
S/e of carbamazepine
Vertigo
Sedation
Diplopia
Polymyositis vs dermatomyositis on bx
Polymyositis:
intrafascicular inflammation with T cells
Dermatomyositis:
Parafascicular ,perivascular infiltration with B cells
C/f of inclusion body myositis
Asymmetric proximal and distal muscle weakness-selective
Egs of NMDA antagonists
Ketamine
Memantine
Define Chiari 2 malformation (4)
Myelomeningocele
Caudally displaced tonsils
CSF obstruction
Syrinx of hydrocephalus
Facial erythema stretch marks blurry vision and headache s/0…
Polycythemia vera
Cause of DRESS syndrome
Carbamazepine toxicity
Drug reaction with Eosinophilia and systemic signs: fever,mobiliform rash-erythema,LAP.
Acute HSS- 2-8 weeks
S/e of phenothiazine
Impaired thermoregulation
C/f of acute porphyria
Ab pain,peripheral neuropathy,psycho
Ppt by drugs, alcohol,purple pee
Tumor ass with Sturge weber syndrome
Leptomeningeal angioma
Disease ass with Romberg sign
Neuro syphillis-tabes dorsalis
Rx for chronic tension headache
Amitryptilline
Rx for cryptococcal meningitis
AmphoB + flucytosine
Rx to prevent attacks of MS
IFN B + glatiramer acetate followed by natalizumab
C/f of meningococcal meningitis (3)
- Non blanching petechial rash
- Signs of DIC, shock
- Adrenal gland failure
Prevention of meningococcal meningitis
Polysaccharide conjugate vaccine
Complication of mumps meningitis
Pancreatitis
Dx test for Lyme disease
ELISA
Pathophysiology of Lyme disease
Toxin preventing AcH release at NMJ
Rx for Lyme disease
- Remove tick
- Doxy-adults, amoxicillin-kids
- Disseminated- ceftriaxone
Contraindications of TCA (2)
Glaucoma
LBBB
Rx for acute angle closure glaucoma (2)
Beta blockers
Apraclonidine
Systemic Rx for acute angle closure glaucoma
Acetazolamide
C/I Rx for angle closure glaucoma
Epinephrine
C/f of SSPE (4)
Dementia Myoclonus Epilepsy Coma/death —7 yrs post infection
Inheritance and prognosis of Tay Sachs disease
AR
prognosis: death by 4 years
Bx of Tay Sachs disease
Lysosomes with onion skin appearance
C/ f of adrenoleukodystrophy (5)
Young male with Deteriorating vision Hearing loss Motor,cognitive deficits Dementia Adrenal insufficiency
—-lethal
Inheritance of adrenoleukodystrophy
X-linked
Pathophysiology of adrenoleukodystrophy
Mutation of ATP binding cassette transporter
Rx for adrenoleukodystrophy
Diet -lipids + steroids
Peripheral neuropathy and microcytic anemia is due to …….
Isoniazid toxicity
Criteria to evacuate subdural hematoma
If >10mm
If >5mm with midline shift
Mod-severe cognitive impairment
Hearing in patients with otosclerosis is seen with….
Noisy environment
Speech pattern of otosclerosis
Soft monotonous
Schtwarz sign is ass with….. define
Otosclerosis
Reddish hue in the tympanic membrane