Neuro reverse Flashcards
Epidural hematoma
Head trauma, disoriented - lucent - coma
Subdural hematoma
concave
Big toes goes back, other toes fan out. Suggestive of upper motor neuron lesion including CVA, spinal cord injury, etc…
Babinski
Bacterial meningitis
LP with decreased glucose, increased protein
Meningococcal
Meningitis and rash
Radial nerve injury
Pt unable to make the “stop sign” signal
Bell’s palsy (self-limiting)
Unilateral facial weakness with inability to close eye
Loss of bowel and bladder function, saddle anesthesia, lower extremity weakness
Cauda Equina syndrome - triad of symptoms
Migraine HA
Adolescent female with HA. +FHx. Severe HA, N/V, photophobia. +/- auras
Cluster HA
Male, recurrent relapsing HA. Worsened with EtOH, lacrimation, salivation, rhinorrhea
Subarachnoid hemorrhage
Sudden onset thunderclap HA, “worse HA of my life”
Temporal arteritis (giant cell arteritis). Elevated ESR, get temporal artery biopsy
> 50 yo female w/ HA. Temporal artery tenderness or blindness
Generalized seizures
Tonic -clonic
absence
Neurological impulses that impact large areas on both sides of the brain
Complex partial seizure
Sz, clouding of consciousness, postictal phase, only affect a portion of the brain
MS
Recurrent episodes of vision change, diplopia, weakness and tingling in extremities that resolve
Cauda equina syndrome = neurosurgical consult
S/p fall with bilateral LE weakness, urinary and rectal incontinence, decreased rectal tone
GBS
Ascending paralysis
Myasthenia gravis
Weakness and fatigue in upper limbs, blurry vision, diplopia, respiratory distress
Absence (petit-mal) seizure
Pediatric with episodes of blank stares
Absence (petit-mal) seizure*
3 mHz spikes on EEG
Simple partial seizures
types: motor, sensory, Jacksonian
Sz, affects only one part of the brain, no alteration in consciousness
Resting tremor
bradykinesia
rigidity - cogwheeling
Parkinson symptoms
T4
T10
L5
S1
C7
Dermatome levels
nipple line
umbilicus
great toe
little toe
middle finger
Temporal arteritis
temporal artery biopsy
Tx with steroids
Blindness complication
Headache with jaw claudication
tensions ha
Occipito-frontal areas - with tenderness of the neck
“band-like” headache
Jacksonian seizure
Symptoms start in one part of the body, then spread to another through recruitment of additional muscles along the same side of the body in a progressive, step-wise fashion
Body stiffens
Tonic
Muscles will start to contract and relax rapidly, causing convulsions.
These may range from exaggerated twitches of the arms and legs to violent shaking or vibrating of the stiffened extremities.
Tonic clonic - experience postictal period of confusion, sleepiness and amnesia of the event.
Clonic
Pt appears to “zone out” no postictal confusion. Can occur multiple times a day.
Absence seizure
