Neurology Flashcards
1
Q
Diagnosis of neufibromatosis type 1 (two or more)
A
- 6 or more cafe-au-lait spot >5mm before puberty, >15mm after puberty
- More than one neurofibroma
- Axilarry freckles
- Optic glioma -> visual impairment
- One Lisch nodule, a hamartoma of iris
- Bony lesion from sphenoid dysplasia
- First degree relative of NF 1
2
Q
Associated condition with neurofibromatosis 1
A
- Phaechromocytoma
- Pulmonary hypertension
- Renal artery stenosis
- Hypertension
- Gliomatous change
- MED syndrome
3
Q
Causes of cerebral palsy
A
Antenatal (BIG PHD)
- Brain anomaly
- Infetion- TORCHES
- Genetic
- Prematurity
- Hypoxia
- Drug/toxin
Intrapartum
- Hypoxia
Postnatal (HIP)
- Hypoxia/hemorrhage
- Infection- Meningitis
- Prematurity
4
Q
Complications of cerebral palsy
A
- Microcephaly
- Swallowing problem
- Aspiration pneumonia
- Seizure
- Contracture
- Vision: strabismus/myopia/blind
- Hearing: sensorineural deafness
- Ear: chronic OM
- Teeth: dental carries
- Scoliosis/kyphosis
- Hip dislocation
- Constipation
- Chest infection
- Urinary incontinence
- Bed sore
5
Q
Management of cerebral palsy
A
MULTIDISCIPLINARY
- Paeditrician
- Neurologist- seizure/botulinum toxin
- Surgeon- PEG
- Orthopaedics- contracture, dislocated hip, scoliosis
- Ophthalmology- squint
- Hearing test
- Dentist
- Physio
- OT
- Dietician
- Social welfare
- Special school