Peds neuro Flashcards

1
Q

Seizure disorders- Eti

A
  • Sudden, transient disturbance in brain fxn
  • Metabolic, traumatic, anoxic or infectous
  • Repeated = epilepsy
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2
Q

Seizure disorders- Sx

A
  • Focal or generalized
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3
Q

Seizure disorders- Dx

A
  • Detailed hx to determine sypmtops at onset, duration, focal v general
  • EEG
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4
Q

Seizure disorders- Tx

A
  • carbamazapine
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5
Q

Febrile seizures- Eti

A
  • 90% generalized

- Last

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6
Q

Febrile seizures- Sx

A
  • Fever > 38.8 degrees
  • Non-CNS infection
  • Between 3 mo - 6 yrs
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7
Q

Febrile seizures- Dx

A
  • Determine source of fever

- Lumbar puncture, RO CNS illness

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8
Q

Febrile seizures- Tx

A
  • Dont tx with anticonvulsants

- Control fever with baths, antipyretics and abx

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9
Q

Febrile seizures- Tx

A
  • Dont tx with anticonvulsants

- Control fever with baths, antipyretics and abx

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10
Q

Hydrocephalus- Eti

A
  • Increased CSG volume

- Progressive ventricular dilation

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11
Q

Hydrocephalus-Sx

A
  • Macrocephaly
  • Excessive rate of head growth
  • Irritability
  • Bulging fontanelle
  • LOA, V
  • Impaired gaze, EOM
  • Hypertonia & hyperreflexia
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12
Q

Hydrocephalus-Sx

A
  • Macrocephaly
  • Excessive rate of head growth
  • Irritability
  • Bulging fontanelle
  • LOA, V
  • Impaired gaze, EOM
  • Hypertonia & hyperreflexia
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13
Q

Hydrocephalus-Dx

A
  • Clinical

- CT & MRI

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14
Q

Hydrocephalus-Tx

A

Vetriculoperitoneal shunting

- Tx underlying cause

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15
Q

Hydrocephalus-Tx

A

Vetriculoperitoneal shunting

- Tx underlying cause

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16
Q

Headaches- Eti

A
  • Migraine & tension type

- 11-28% children

17
Q

Headaches- Sx

A
  • Primary: migraine, tension, trigeminal
    Migraine- episodic, unilateral, throbbing, photphobia, phonophobia, N/V
  • Tension: Tight, dull sensation
  • Trigeminal: Rare, unilateral severe HA, autonomic dysfxn (congestion, watery eye, facial sweating, miosis)
18
Q

Headaches- Dx

A

History & symptoms

19
Q

Headaches- Tx

A
  • Acute- analgesics & migraine meds

- Preventative- biobehavioral management

20
Q

Headaches- Tx

A
  • Acute- analgesics & migraine meds

- Preventative- biobehavioral management

21
Q

Cerebral palsy- Eti

A
  • 0.2% children
  • Chronic, static impairment of muscle tone, strength, tone, coord, Mvmt
  • Non-progressive, originated from trauma
22
Q

Cerebral palsy- Sx

A
  • Limb spasticity: Mono, hemo, para
  • Ataxia- fine coordination of upper extremities
  • Hyperreflexia
  • Microcephaly
  • Seizures, retardation,
23
Q

Cerebral palsy- Dx

A
  • MRI

- Genetic & metabolic testing

24
Q

Cerebral palsy- Tx

A
  • PT, OT, ST
  • Orthopedic monitoring
  • Botox for spasticity