phase 2 neuro Flashcards
pathogenesis of subdural haematoma
Trauma/deceleration
causes shearing of Dural venous sinuses
diagnostic test and result for shaken baby syndrome (subdural haematoma)
NON CONTRAST (1) CT Head (1)
Crescent shaped haematoma [with no midline shift] (1) which are confined to suture lines of the skull
How long should you wait before you obtain a lumbar puncture and why (for shaken baby syndrome, subdural haematoma)
12 hours (1)
Xanthochromia observed is most sensitive to positive results at this time
what would u observe on knee jerk reflex of patient with GB
Hyporeflexia/absent (1) because peripheral nerves (LMNs) are damaged in this condition (
LP for GB
Raised protein (1) and normal white blood cell count (
better word for plasma exchange (gb treatment)
plasmapharesis
acute migraine management
Triptans e.g. sumatriptan (1) and aspirin 900mg
what part of brain affected in parkinsons
Substantia Nigra PARS COMPACTA (1) which results in an impaired NIGROSTRIATAL PATHWAY (1) and therefore results in PROBLEMS INITAIATING MOVEMENT
drawback of levodopa
Levodopa (1), with the main drawback being it loses its effectiveness over time – can lead to more severe symptom relapses
risk factors for suicide
alcohol abuse, previous suicide attempt, depression, anxiety, recent onset grief, low socioeconomic status, social isolation, learning difficulties, drug abuse/misuse, other psychiatric illnesses (e.g. schizophrenia), previous suicide attempt, trauma
what to ask sucidial patient
Have you ever thought about killing yourself/ self harming?
Have you ever acted on this?
Was it planned or impulsive?
Had you written any suicide notes?
sertraline drug class
Selective serotonin reuptake inhibitor
4 classes of antidepressenats
SNRI, TCA, MAOIs, SSRI
