Nuero CCP Flashcards
lyme disease
rash
erethema migrans
dysesthesia
distorted sensation to stimulus
paresthesia
distorted without sensation
DTR increase
CNS lesion
hyperreflexia
DTR decrease
PNS lesion
hyporeflexia
differential for neuropaties
increased B6 decreased B12 DM II lyme myasthenia gravis malabsorpion
campylobacter
causes guiann barre
-diarrhea
zoster
shingle
repetitive nerve stimulation
myastenia gravis
best diagnostic nerve test to perform because it wears out available ACh more quickly than demand is created by stimulation
multiple myeloma
often have B12 deficiency
methylmelonic acid
most sensitive for B vitamins
VDRL
screen for syphilis
classic multiple sclerosis
numbness and tingling that comes and goes
with bizarre symptoms
myasthenia gravis
not tired, but weak
-fatigue
ptosis, diplopia
bulbar symptoms
limb weakness or fatigability
antibodies against ACh receptor
-autoimmune
edrophonium test
AChestersae inhibitor
-should improve strength acutely
autoimmune polyradiculoneuropathy
guillan barre
EMG
electromyogram
-distinguishes nerve or muscle involved
NCS
distinguish axonal or demyelinating or mixed pattern
EMG
electrode in muscle
-activity rest and contraction
NCS
stimulates motor or sensory nerves electrically at 2 or more site
-muscle at one site for motor nerve measure or another place along nerve for sensory
amyloid
abnormal protein deposition in organs or tissues
can deposit in nerves
biopsy diagnosis
idiopathic
“idiots about the pathology”
prognosis better
for demyelinating
-regenerates quicker
prolonged QT interval
low K, Mg, Ca
arsenic
CVA (stroke)
drugs
