Quiz Flashcards
DO mitochondrial myopathies have acquired symptoms
YES! Ptosis, EOMS, are acquired
What gaze may be unaffected in mitochondrial myopathies
Downgaze
Kearns Sayer key symptoms
Night blindness, short stature. Dementia, DM. Heart. Pigment retinopathy.
Kearns Sayer tx
low carbs, high lipid, B1 and B7 (biotins) COQ10,
What to avoid in Kearns sayer
valproate and phenobarbital. Seizure meds.
MELAS
have lactic acidosis, have encephalopathy with developmental delay seizures and dementia. Opthamologples, optic atrophy. Pig retinopathy.
MNGIE
GI problems and leukoencephaly
SANDO syndrome
Sensory, Ataxic neuropahty, dysarthria, opthamoplegia. Furrowed tongue.
Leigh Syndrome
Subacute necrotizing enechalomyelopathy. Atonia. Occurs in children. Strabismus, pig retinopathy, optic atrophy, ptosis, nystagmus, skew.
TX for eight syndrome
Decreased carbs, increased lipids, B1, COQ10. Sodium citrate for lacticacidosis
Mito myopathies with pig retinopathies
Kay’s sayer (night blindness), Minas, Leight.
Myotonic Dystrophy
Look aged, Christmas tree cataract. Mitotic pupils. Retinal dystrophy with sclera showing.
TX for myotonic dystrophy
phenotonin for myotonia. Cataract, ptosis, prism for diplopia
Oculopharyngeal dystrophy
Hispanic. Dysphagia, Astrologist posture. Ptosis is bilateral and complete and EO is mild if present.
DX of oculopharyngeal dystrophy
High creatine phosophkinase. Vacuoles in muscle.
Grave’s Disease
Fibrotic. IM SLO. Tendons will be spared.
Myositis
IIOP (idiopathic inflammatory orbital psudotumor). Inflammation where tendons are not spared. Treat with steroids. Have painful acute onset of diplopia, conj chemises with edema or proptosis.
Brown SO tendon sheath
difficulty for adduction and up gaze. IF acquired treat with corticosteroids.
Eye questions for como
- misalignment 2. conjugate gaze deviation 3. spontaneous eye movements 4. doll’s eye?
horizontal deviation with hemiparesis
if hemispheric lesion it will be away from the hemiparesis. If thalamus or pons it will be toward the hemiparesis.
Caloric testing
COWS. The fast phase. Cold=away. Warm=same.
Lesion in horizontal canal with testing
Fast will be contralesional
Atypical bobbing
Horizontal movements too
Reverse bobbing
Quick phase up
Inverse bobbing
very slow downward
Converse bobbing
very slow upward
Depressants HGN, VGN, pupils, body temperature, pulse, convergence, lids, light
Alcohol, barbiturates, soma (qualludes). HGN yes, VGN with big amounts, pupils (normal except with soma), decreased pulse (except with qualludes and etch), normal temperature, convergence decreased, ptosis. slow reaction to light. flaccid muscle tone.
Stimulants
Meth and cocaine. Only dilate eyes. Slow reaction to light. Have increase temperature, pulse rate, blood pressure. Rigid muscle tone.
Number one drug in oregon
Meth
Prescription Stimulants
Ritaline, Adderal, Dexedrine, Atomoxetrine (non prescription but serious SE)
HGN
Depressants, Inhalents, PCP
VGN
Depressants, Inhalts, PCP
Lack of convergence
Cannabis, Inhallents, Depressents, PCP
Dilation of eyes
Cannabis, stimulants, hallucinogens.
Constriction of eyes
narcotics
Slow light response
Stimulants, Narcotics, inhalents, Depresessents.
Normal light response
PCP, hallucigenics, Cannabis.
Myopathies and pig retinopathy
kauert sauer, MELAS,
