Neurological Diseases (6) Flashcards
lab tests that are done in all cases of acute brain diseases
CBC
Creatine, electrolytes
CRP, ESR
How to dx migrane
dx from hx and physical
lab tests to rule out other causes ( rule out inf, and TSH to rule out thyroid)
What is status epilepticus, lab tests
a single seizure lasting for more than 30 mins or multiple seizures w/o regaining consciousness between events
–med emergency
lab tests- serum chemistries, drug lvls, tox screen
Temporal arteritis- s/s, age, lab tests
elderly pts, (20% of those w polymyalgia rheymatic)
W>M
Headache usually unilateral or visual loss
Lab- CBC, CRP, ESR >80
meningitis- viral, bac and fungal causes
virus- HIV, Herpes, mono, mumps, polia (most serious)
Bac- ecoli, strep
fungal- crypto
Key symptoms of meningitis
Headache, neck stiffness, vomiting, photophobia, rash)
syphilis lab test (3)
- Venereal disease reference lab
- Rapid plasmin reagin
- serology tests are not pos until 14-21 days after inf
what can presipitate delirium
in elderly diseases such as Urinary tract inf can precipitate delerium
mental deterioration in dementia
slow, >6m
progressive mem loss, mild cognitive impairment going on to dementia
not normall part of aging
what is mc type of dementia and 2,d
alzheimers
2nd- stroke
what marker is found in 70-80% of alzheiers
lipoprotein E4 varient
Symptoms of dementia
personality change nocturnal wanderings reversed day night sleep cycle intellectual decline mood change
two white matter dementias
MS (antibodies vs myelin)
Leuko dystrophies (infants + childs retared, inherited gene)
Toxid dementias (3)
Alcohol
hepatic encephalopathy
heavy metal posining
Cretinism- presentation, tests
Thyroxine def
-puffy face, protuberent tounge, umbilical hernia, mm weakness
lab- drop of blood on filter paper for TSH, free thyroxine
