neuro recap Flashcards
1
Q
brain abscess
A
symptoms
- RICP - N&V, confusion, headache
- fever
- systemic
Ix
- bloods
- CT
- LP
Mx
- IV abx broad spec
- surg decompression
- high dose corticosteroid
2
Q
bacterial meninigits
A
cause
- listeria
- haem influenza
- staph aureus
- TB
- severe - HSV1/2
symptoms
- high fever
- triad
- photophobia
- confusion/ seizures
- nausea
signs
- brudinski - neck and hip flex
- kernig - flexed hip and pain knee extension
- RICP/ CN palsy
Ix
- bloods - FBC, UE, CRP, LFT, cultures x2
- LP - cloudy, high protein, low glucose, polymorphs
Mx
- most - IV cefotaxime, IV dex
- immunosuppressed - Iv cefotaxime, iv amoxicillin, iv dex
- penicillin allergy - Iv chloramphenicol
complications
- Venous sinus thrombosis
- severe cerebral oedema
- hydrocephalus
3
Q
first line for trigeminal neuralgia
A
carbamezapine
4
Q
mx SDH
A
burr hole craniotomy
5
Q
SE dopamine agonists used in PD
A
gambling
hypersexual
binge eating
compulsive shopping
6
Q
spinal cord hemi section also called
A
brown sequard syndrome
7
Q
BSS associated with
A
dorsal column, spinothalamic tract, corticospinal tract
ispilateral paralysis, loss vibration and position, hyperreflexia
contralateral loss of pain and tamp 2/3 segments below
8
Q
lateral spinothalamic tract transmits
A
spino - p for pain
thalamic - t for temp
9
Q
corticospinal tract transmits
A
motor
10
Q
ventral spinothalamic
A
touch
11
Q
dorsal column
A
proprioception
vibration
12
Q
dx of myotonic dystrophy
A
genetic analysis
13
Q
limb jerking brain region
A
frontal
