Vascular Flashcards
The typical presentation of pontine hemorrhage is?
Coma + HTN + pinpoint reactive pupils.
MOA of anterior shoulder dislocation?
Abd and external rotate
SAH presens with?
sudden onset HA
Thalamic hemorrhage presents with?
AMS, contralateral motor and sensory issues.
Cerebellar hemorrhage presents with
impaired gait and speed, limb ataxia
flexor tenosinovitis presents with
pain with finger ext and associated with felon.
An AP radiograph shows a round cuboid lucency is a sign of?
Bone destruction with osteomyolitis
pseudomonas from a nail in the shoe is tx with?
Cipro (FQ)
lucid interval, biconvex opacity, middle meningeal artery is what type of brain bleed
epidural
if a patient has warfarin and developes a brain bleed, how do you tx them?
Vit K , prothrombin, and FFP
contralateral hemisensory loss is associated with what part of the brain?
Thalamus
Clear speech w/ poor understanding is due to a lesion in the
temporal region
Good understanding and poor speech is due to a lesion in the
frontal region
myasthenic crisis with sob is tx with
negative inspiratory force
low-birth-weight children preterm and substance abuse can lead to what
cerebral palsy
myasthenia gravis will most likely exhibit ——- deep tendon reflexes
Normal
periventricular white matter, lumbar puncture may show oligoclonal bands
MS
Becomes more prevalent the farther you live from the equator
MS
what metric is used to grade SAH? how can you medically stop vasospasms?
Hess and Hunt: worse with motor issues
Tx = Nimodipine
Contralateral hemiparesis/hemiplegia, Contralateral sensory loss, ipsilateral deviation of the eyes, stupor, coma and mydriatic pupils
Left putamen
monocular vision loss, sensory abnormalities, decreased color vision in her left eye
MS
Morning headaches associated with vomiting are indicative of increased intracranial pressure and raise concern of a CNS ——–
glioblastoma
motor abnormality that does not progress, brain lesion. what is this?
Cerebral palsy
No 1 risk factor for Cerebral palsy ?
pre-maturity birth
Is Cerebral palsy regression?
no
if primitive reflexes persist, the kid has?
Cerebral palsy
Cerebral palsy leads to what if not treated?
aspirative PNA, Kernicterus
Neuro syncope is due to
Cardiac C fibers - vasodilate->brady & HoTN
MCC of syncope?
vasovagal
micturition or carotid sinus hypersens can lead to
syncopy
syncopy diag?
tilt test
Do concussions have a brain bleed?
no
AV malformations is associated with
aneurysms and ICH
AV malformations sxs
ICH, seizure, headhaches,
AV malformations diag?
MRI - vessels
Gold - Xray Angio, CT helps
AV malformations tx?
neurosurgical referral
AV malformations can lead to
hemorrhages
mass effect, well circumscribed
Benign neoplasm
MC Benign neoplasm ?
meningioma - benign
glioma - bad
Benign neoplasm diag?
MRI
Benign neoplasm =tx?
surgery
low mets are associated with (due to BBB)
Malignant neoplasms
MC met is to the?
brain, from lung/breast
MC primary brain tumor is?
glioma (glioblastoma)
Malignant neoplasms diag? TX?
MRI and surgery
complications to Malignant neoplasms
cebreal edema (steroids) Seizure (val, lamic)
CRPS is
severe pain + post surgical + trophic changes. Pain doesnt follow dermatomes or nerves
CRPS sxs
4-6 wks post surgery, red, hot, dusty red, decreased ROM, more hair frowth, skin atrophy
CRPS diag/ Tx
work up will be negative clinical/pt or ot, nsaid
encephalopathic diag?
Clinical, CSF analysis
will Radiculopathy had decreased DTR, numbness, weakness?
yes
loss of conscience, HA, N/V, blurrued vision after MVA could be due to a?
traumatic brain injury
GCS mild is? Severe GCS is?
13-15, 8 and under
Trigeminal neuraglia is tx with?
Carbamezapine then Stereotactic Gamma knife surgery
What is Argyll-Robertson
Syph or DM, small irreg pupils that react to vision but not to light.
The lack of altered consciousness and focal motor symptoms are strongly indicative what kind of seizure?
Simple - partial
What spinal nerve root associated with deltoid and biceps weakness and diminished biceps reflex
C5
What spinal nerve root triceps weakness and paresthesias in the middle finger and diminished brachioradialis reflex
C7
What spinal nerve root is most likely affected in a patient with weak wrist extension, thumb and index finger paresthesias and diminished triceps reflex?
C6
widespread muscle atrophy, fasciculations, and bilateral hyperactive reflexes with Babinski sign. Which of the following is the most likely diagnosis?
Amyotrophic lateral sclerosis
