Neurology Flashcards
4 deadly D´s
Diplopia
Dizziness
Dysphagia
Dysarthria
single greatest rick factor for stroke
Hypertension
carotid endarterectomy indication
> 60% in symptomatic patients
>70% in asymptomatic patients
SHE tx
CX blood control(BP
Cushing herniation tria
hypertention
bradycardia
irregular respirations
partial and tonic-clonic seizures treatment
levetiracetam,phenyon, phenobarbital(first line in children) or valproic acid.
estatus epilepticus
IV benzodiazepine(lorazepam or diazepam)
- ->5min anther dose
- ->10 min FOSPHENYTOIN,valproate sodiumPHENOBARBITALlevetiracepam or continuus of midazolam
- > General anestesia
Charcot´s Classic(neurology) Triad
MS
scanning speech
internuclear ophthlamoplegia
bystagmus
MS treatment
corticosteroids, plasma exchange for those not responding to to steroid
interferon B
copolymer
guillian barre tx
plasmaferesis or IVIG
Dementia diferential diagnosis
neuroDegenerative diseases Endocrine Metabolic Exogenous Neoplasm Trauma Infection Affective disorders Stroke/Structural
mini-mental state examination
normal people>24
Alzheimer
dopamine agonist
ropinirole
pramipexole
bromocriptine
Tuberous Sclerosis is related with
rhabdomyoma astrocytoma renal disease( cyst, angiolipoma, and carcinoma)
headaches triggered by darksness
closed angle glaucoma
give pilocarpine
ischemic stroke treatment
3h=ASA
if already in ASA add dypiradamol pr switch to clopidogrel
best sigle prophilaxis therapy for migraine
propanolol
trigeminal neuralgia treatment
oxcarbamazepine or carbamazepine
best test to se seizure possibility of recurrence
sleep deprivationEEG
how long is ok for withdraw seizure medication
2 years seisuze free
most acurate test for SAH
lumbar puncture
enticholinergic medications in parkinson are best for=?
tremor and rigidity
amantadine indication
> 60 who cannot tolerate anticholinergics
BEST initial therapy in severe parkinson
Pramipexole and ropinirole
monst effective medication in parkinson
levodopa/carvidopa
-associated with on/off( use tolcapone and entacapone)
only medication that retard the progression of parkinsonism
MAO inhibitors( rasagiline,selegiline)
huntington treatment for dyskinesia
tetrabenazine
natalizumab adverse effect
progressive multiocal leukoencephalopahy
acute MS tretment
hig dose stereoids
most common cause of dead in ALS
respiratory failure
best initial treatment for peripheral neuropathy
pregabaline or gabapentine
best initial therapy for myastenia gravis
neostigmine and pyridostigmine
cluster headache prophylaxis
Verapamil
best treatment for trigeminal neuralgia
oxcarba or carbamazepine
if do not improve
gamma knife
best choice for prevention of acute atack in MS
gratiramer(copolymer1) and B-interferon
oligoclonal bands
MS
albuminocytoloic dissosiation
guillian-barre
the four A´s of DEMENTIA
- Amnesia
- Aphasia(lenguage impairment)
- Apraxia(inability to perform motor activities)
- Agnosia(inability to recognize previously known objects/places/people)
huntintongton disease
atrophy of the CAUDATE
wilsons disaese
atrophy of the Lenticular nuclei
deep intracraneal hemorrage
tipially due hypertensive vasculopathy
- basal ganglia
- pons
- thalamus
single greatest risk factor for STROKE
HYPERTENSION
