NEUROLOGY Flashcards
1
Q
TENSION HEADACHE
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- Bilateral HAs, waxes/wanes but doesn’t throb, emotional stress and most intense behind the neck
- none
- NSAID, tylenol, hot massage
- none
- none
- cluster, migraine
2
Q
CLUSTER HEADACHE
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- unilateral, 15mins-3hrs, rhinorrhea, no family hx, spontaneous remission
- none
- 100% O2 for 15mins, sumatriptan
- none.
- none.
- tension, migraine
3
Q
MIGRAINES
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- unilateral, throbbing, several hours or longer, aura, visuals, numbness/tingling, pos family hx
- none
- quiet dark place, nsaids, sumatriptan.
- none
- MO for migraine prophylaxis
- cluster, tension
4
Q
ABSENCE (PETITE MAL)
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- sudden, brief impairment of consciousness w/o loss of postural control
- lasts only seconds, accompanied by automatisms, begin in childhood, hundreds of times a day, “day-dreaming”
- none listed
- none listed
- none listed
- neurology
- syncope, TIA
5
Q
TONIC-CLONIC (GRAND MAL)
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- 2.abruptly w/o warning, rigid and falls to the ground-respiration stops.
Tonic=contraction, 10-20secs
Clonic=muscle relaxtion&jerking, 2-3mins
post-ictal phase=unresponsive, salivation, stridorous breathing, incontinence, - none
- airway, diazepam
- none
- MEDEVAC
- Myoclonic
6
Q
MYOCLONIC
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- sudden and brief muscle contraction that may involve one part or the entire body.
- sudden jerking while falling asleep. Seen in association with metabolic disorders, CNS diseases, brain injury, no LOC
- none listed
- none listed
- none listed
- MEDEVAC
- Tonic-clonic, status epilepticus
7
Q
NON-ELECTRIC SEIZURE
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- conversion reaction to outside
- female > men
- video-EEG
- none listed.
- none listed.
- MEDEVAC
7.
8
Q
STATUS EPILEPTICUS
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- continuous seizures >5 mins, possible tachycardia, HTN, and pupillary dilation.
- CT, labs (idk which specific ones)
- Airway, diazepam
- none lised.
- neurology
- myoclonic, tonic clonic
9
Q
CEREBRAL VASCULAR ACCIDENT (CVA)/STROKE
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- 7.
10
Q
ISCHEMIC STROKE
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- 7.
11
Q
HEMORRHAGIC STROKE
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- intracerebral (bleed in brain) or subarachnoid (subarach. space)
- gradual onset as blood builds, SAH=worst headache of life. risk factors: HTN, trauma, bleeding disorders, drug use, aneurysms
- CT, EKG, CBC, FBG, O2
- NOT FINISHED CARD
- 7.
12
Q
TRANSIENT ISCHEMIC ATTACK
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- 7.
13
Q
RESTLESS LEG SYNDROME
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- uncomfortable, creepy, crawling sensation or pins and needles feeling. during walking and sleep onset.
- 7.
14
Q
CONCUSSION
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- 7.
15
Q
EPIDURAL HEMORRHAGE
- Definition
- Hallmarks
- Labs/Imaging
- Treatments
- Complications
- Dispo/Ref
- Differentials
A
- 7.