Neuro, Neuromuscular Nerds & Autoimmune Disablers Flashcards
Everyone should respond on their whiteboards. No talking! If anyone on the team writes an incorrect answer, the team loses the equivalent number of points.
A slowly progressive degeneration of an area of the brainstem resulting in a decrease of dopamine characterized by tremor, muscle rigidity, and bradykinesia usually occurring later in life.
Parkinson’s Disease
A chronic neuromuscular disease causing weakness in the voluntary muscles. The most commonly affected muscles are those of the eyes, face, and swallowing. Those affected often have a large thymus.
Myasthenia Gravis
A patient reports a recent illness. This was followed by tingling and weakness starting in their feet and legs which is now spreading to their arms. You suspect:
Guillain-Barre
Inflammation of CN VII results in muscle weakness or paralysis in the face.
Bell’s Palsy
List the (2) etiologies of CVA and identify the most common.
*Ischemic- 80%
Hemorrhagic
A patient presents with (peripheral facial palsy) L sided contralateral weakness to the lower face- you ask the patient to raise their eyebrows and they can do so. You suspect:
A stroke
A patient presents with (central facial palsy) L sided ipsilateral weakness to the upper and lower face- you ask the patient to raise their eyebrows and they are unable to do so. You suspect:
Bell’s palsy
A patient presents with partial ptosis, miosis, and facial anhidrosis due to a disruption in the sympathetic nerve supply.
Horner’s syndrome
A group of diseases that cause progressive weakness and loss of muscle mass. Symptoms typically affect boys and begin in childhood.
Muscular dystrophy
A neurodegenerative disease that results in the progressive loss of motor neurons that control voluntary muscles. Death is usually caused by respiratory failure.
ALS- Amyotrophic lateral sclerosis
A condition in which your fingers, toes, cheeks, nose and ears initially turn pale/ blue when exposed to cold temperatures.
Reynaud’s
Sx begin gradually and progressively worsens usually starting at the jaw causing painful spasms and rigidity progressing down the body.
Tetanus
An autoimmune disease in which the insulating covers of nerve cells in the brain and spinal cord are damaged. This damage disrupts the ability of parts of the nervous system to transmit signals.
Lhermitte Sign- experiencing electrical sensation when head is flexed forward
Multiple sclerosis
A patient reports fatigue, aching joints, and frothy urine. You suspect:
Lupus
A 45 year old reports the worst headache of their life. You should suspect:
Caused by:
Subarachnoid hemorrhage
-bleeding in the subarachnoid space between the arachnoid membrane and the pia mater surrounding the brain
-cerebral aneurysm
