Neuro, klin kem

Question 1

HYPO P

Answer 1

PIDDE PCR:HL!
hyper PTH (prim)
Iatrogen(insulin, P-bindare)
Diet
DKA
Eklampsi
PTHrp (neoplasi)
Cushing
RTA
HL!

Question 2

HYPER P

Answer 2

POI-HHUNDD
hypoPTH
Osteolys
Iatrogen (enema, iv)
Hemolys(i provet)
Hypertyreos
Ung
Njure
Diet
D-vit-tox

Question 3

HYPER Ca

Answer 3

PLAC DAMIIGA
hyperPTH
Lymfom
Addison
CKD
D-vit-tox(calciferol m, calcipotriol p)
Analsäckscarcinom
MM
Idiopatisk
Iatrogen (P-bindare, Ca- giva, D-vit)
Granuloma
Acidosis

Question 4

HYPO Ca

Answer 4

PAPCPEP DIDAMM
hypoPTH
AKI
Pankreatit
CKD(renal rek hyperPTH)
Puerperal paresis
Etylenglykol
P-enemas
Diet-brist
Iatrogenic(bicarb, phosphonates)
D-vit-BRIST (malabs tex)
Albumin"brist"
Mg-brist
Malabsorption

Question 5

HYPOKALEMIA

Answer 5

PINCCAD +G-I
Periodic paralysis
Iatrogen (fluids, insulin, bicarb)
Njursvikt (inkl RTA, postobstr)
Cushing
Conn's
Alkalos
Diet deficiency (feline)
GI-loss

Question 6

CHLORIDE

Answer 6

MAc BroDe - GaV MAl
Upp:
Bromid-terapi
Dehydration
Metabolic Acidosis
Ner:
Gastric vomiting
Metab alkalosis

Question 7

Horners syndrome efter 2,5% (1%?) phenylephrine

Answer 7

60-90 min DILAT (Third order neuron lesion eller: finns ingen symp-kontakt med ögat)
Intrakranial
C1-T3
20-45 min (2nd) Thoracic (/jugular furrow)
<20 min: (first order neuron; öra till öga)
Idiopathic
Otit/otic mass
FIV, FeLV

Question 8

high urea

Answer 8

Prerenal, Renal, Postrenal (ruptur!!)
Prerenal:
Diet
Dehydrering/chock
GI-blödning
Katabolism (feber, drugs(tetracycl))

Question 9

ATAXIA-TYPER?

Answer 9

ingen pares: vestibular, cerebellar,

pares: GP/sensory (cerebral,spinal, peripheral)

Question 10

GAIT-abnormalities

Answer 10

PROPRIO
PARES - - PLEGI (=paralys)
ATAXI
DYSMETRI (hyper- hypo-)

Question 11

Parasiter i respvägarna

Answer 11

FACCOP, DA(TT)
Filaroides H
Aelurostrongylus abstrusus K
Crenosoma vulpis H
Capillaria aerophilia
Oslerus osleri
Paragonimus kellicotti 
Dirofilaria
Angiostrongylus vasorum 
(Toxoplasma, Toxocara spp)

Question 12

Svårdiagnoser vid effusion?

Answer 12

MMM
Mycobacterium (PCR)
Mesoteliom
Metastatic carcinoma

Question 13

Klassificering av PH?

Answer 13

PAH (V-R shuntar, Diro)
PH med vä-sidig svikt
PH med hypoxi/lungsjd
PH med tromber/embolier (inklDiro)

Question 13

SEIZURES

Answer 13

Fokala eller generella??

Idiop
Symptomatic: VITAMIN D (inf/infl,neopl,vasc(bleed,thromb))
Probably symptomatic
Reactive (UT Nu, HHE…)

Question 14

Hypercoag om ej TEG?

Answer 14

AT ner, D-dimer, hyperfibrinogenemia

Question 15

Multifocal dz

Answer 15

V: Intracranial hemmorhage, hypertension 
Immunemed:encephaliterna
T: tox
A: hydroceph
M: HypoT, lever/njure, Osmo, glc, elyter
Inf: vi ba Ri pr pa fu 
Idiop
Neopl: lymphoma, mets

…and combos!!

Question 17

Polyneuropati?

Answer 17

I MIND... 
I: protozoal, polyradiculo
M: endocrine (DM, hypoT, insulinoma)
Idiop
N: paraneoplastic
D: storage, demyelinating breedspecific...

Question 18

Polymyopati?

Answer 18

I MIND…
I: protozoal ,bacterial
M: hypoK,hypoCa hyperCa, hypoT, steroid myopati, drug induced
Idiop
N: paraneopl
D: dystrophy, mitochondr breedspecific….

Question 19

Spinala neurodeficits utan smärta

Answer 19

FCE, arachnoid cyst, syringomyeli, intramedullary tumors, degenerative myelopathy(breeds)