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Neuro > Peripheral nerve diseases > Flashcards

Peripheral nerve diseases Flashcards

1
Q

Unilat facial weakness without other sxs?

A

Bells palsy (CN 7)

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2
Q

Cant close eye, cant smile, cant raise eye brows. What is this? With Ipsolateral ear pain

A

Bell’s palsy

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3
Q

Does stroke spare the forehead?

A

Yes - lower facial paralysis

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4
Q

How do you treat bells?

A

Acyclovir, patch, ICS

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5
Q

chronic hyperglycemic, lower extremity neuropathy, bladder/sex dysfunc

A

Diabetic peripheral neuropathy

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6
Q

Diabetic peripheral neuropathy diag?

A

LABS, nerve study, renal failur, Vit B 12

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7
Q

Diabetic peripheral neuropathy tx?

A

Control Sugar, gabapentin, compression stockings

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8
Q

Guillian barre is due to?

A

Campylobacter, flu shot

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9
Q

does Guillian barre have low DTR

A

yes

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10
Q

Ascending paralysis is?

A

Guillian barre

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11
Q

Guillian barre diag?

A

CSF (high protein)

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12
Q

Guillian barre tx?

A

IVIG + Plasmapheresis

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13
Q

Guillian barre complication

A

resiratory failure

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14
Q

improves with rest and worse paralysis with activity is

A

Myasthenia gravis - Ab Acetylcholin receptor

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15
Q

ptosis with muscle weakness is? chewing weakness?

A

Myasthenia gravis

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16
Q

Myasthenia gravis diag?

A

Edrophonium and MRI

17
Q

why do you do an CXR with Myasthenia gravis?

A

Rule out Thymoma

18
Q

Myasthenia gravis tx?

A

Pyridostigmine, thymectomy, IVIG, Plasmaperesis

19
Q

Lambert Eaton Synd is associated with?

A

Small cell Lung cancer

20
Q

Meningitis mcc is?

A

viral

21
Q

Aseptic Meningitis is due to?

A

NSAIDS

22
Q

farm worker or pregnancy get Meningitis from?

A

Listeria

23
Q

Meningitis in neonates is due to?

A

Strep pyo

24
Q

Meningitis in 2m -6y is due to?

A

Strep pneumo

25
Q 
Pt presents with Fever
o Altered mental status
o Stiff neck, 
o Photophobia
o Petechial rash, what is it?
A

meningitis

26
Q

Poor feeding, irritable, bulging fontanelles, lethargic sxs of?

A

meningitis

27
Q

meningitis diag?

A

clinical, CT ->LP

28
Q

meningitis tx?

A

<8 wks age: Ampicillin + Cefotaxime (Ceftriaxone - liver problems in kids)
3m+ = Ceftriaxone + Vancomycin
ETOH, immunocomp = Ceft, Vanco, Amp

29
Q

encephalitis diag?

A

CT, LP MRI (temporal lobes HSV)

30
Q

Encephalitis MRI will show?

A

Bitemporal lobes white

31
Q

Encephalitis tx?

A 
acylovir, foscarnet.
Meningitis Abx (Amp + Vanco, Cetriaxone)
32
Q

bacterial CSF is

A

High open pressure, high protein, high PMN, low glucos

33
Q

viral CSF

A

protien, iop, glucose = normal,

Lymphocytes

34
Q

encephalitis CSF is

A

high pressure, normal protein, lymphocutosis, normal

Neuro (10 decks)

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