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Clinical Neurology > Neurocritical Care > Flashcards

Neurocritical Care Flashcards

1
Q

GBS/AIDP - which tx to NOT use

A

STEROIDS!

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2
Q

Malignant hyperthermia

A

only tx = DANTROLENE

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3
Q

NMS - induced by ANTIPSYCHOTICS

A

tx= DANTROLENE OR BROMOCRIPTINE

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4
Q

vasogenic edema

A

extracellular edema. BBB damage. eg brain tumor

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5
Q

cytotoxic edeam

A

intracelluar edema
a/w cellular membrane damage aka na/k pump
eg ischemia

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6
Q

plateau waves/ Lundberg A waves

A

increased intracranial pressure

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7
Q

crescentic hematoma

A

subdural hematoma. rupture of the bridging veins

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8
Q

biconvex hematam

A

epidural hematoma. rupture of the MMA

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9
Q

angular acceleration and shear injury

A

diffuse axonal injury

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10
Q

CSF w/ xanthochromia

A

SAH

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11
Q

neurologic worsening in SAH w/ unsecured aneurysm

A

suspect rebleeding

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12
Q

neurologic worsening in SAH w/ secured aneurysm and b/w 3-15 days

A

suspect vasospasm

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13
Q

hydrocephalus w/ IVH

A

consider EVD if ICP needs to be monitored or treated

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14
Q

pinpoint pupils, apneustic breathing pattern

A

pontine lesion

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15
Q

ataxic breathing pattern

A

medullary lesion

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16
Q

decorticate posture

A

lesion above the red nucleus

17
Q

decerebrate posture

A

lesions b/w red nucleus and the vestibular nucleus

18
Q

petechial hemorrhages in the brain after trauma w/ bone fractures

A

fat embolism

19
Q

brain injury and anisocoria

A

uncal herniation

20
Q

state of patholofically reduced consciousness from which patient can be aroused to purposeful response only with external stimulation

A

stupor

21
Q

deep sleep - cannot be aroused, mmay grimace or have stereotyped movements but does not localize to the stimulus

A

coma

22
Q

awake and conscious but quadriplegic, paralysis of lower cranial nerves and horizontal gaze. preserved vertical gaze and blinking

A

locked in state

23
Q

previously comatose, but w/ return of the sleep wake cycles. lack cogntive fxn

A

unresponsive wakefulness

24
Q

alteration of consciousness w/ poor attn and fluctuation

A

delirium

Clinical Neurology (12 decks)

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