World 2 Flashcards
Will GBS typically have increased WBC
no
just protein
Which meningitis has the lowest sugar
TB
Which general aphasia has greatly diminished comprehension
wernike
What symptoms accompany brocas
sparse speech
contralateral weakness
s/s of heat stroke
confusion
high temp
bleeding
tachycardia
Friedreich ataxia inheritence
AR
fredriech ataxia prognosis
wheelchair by 25
death by 35
freidrich ataxia MRI
atrophy if cervical spine
mild atrophy of cerebellum
Niemann pick deficincy
sphingomylinase
Special for heptosplenomegally
Tay Sax deficincy
b-hexosaminidase
most common cause of spontatious bleed in age > 60
amyloid angiopathy
Myasthenia gravis s/s
NMJ plate disease
diploplia, ptosis
upper> lower extremity weakness
Treatment of alzheimers
Acth inhibitors
donepizil
rivastigmine
galatamine
slows cognitive decline
trihexyphenidyl is a ?
anti-chole
Best test for b12 deficinecy
methymalonic acid (more sensitive)
akathesia
restlessness
move more frequently
athetosis
slow writhing movement
huntinigtons- fingers
Damage to subthalamic nucleus
hemibasilus
Lesch Nyhan deficiency
hypoxanthine-guanine phosphobosyl transferase (HPRT)
Biggest risk factor for stroke
HTN
se oflevadopa/carbidopa
early: hallucinate, dizzy, HA
late: involuntary movements
lesions of CNS of facial nerve
In CNS ABOVE facial nucleaus, spare forehead
All ischemic stroke pts should be started on this
aspirin
reduces risk of recurrent stroke
Treatment of GB syndrome
IVIG
plasmapheresis
Long term problems after bacterial meningitis
1- hearing loss 2- cognitive decline 3- sz 4- retard 5- spaz/paresis
Patients with suspected acute stroke should have ____ test
Cat scan WITHOUT contrast
goal is r/o bleed
How do you test for parkinsons
physical exam/ history
no tests
s/s of neuroleptic malignant syndrome
fever
rigidity
AMS
autonomic instability
most common reason > 60 yo forlobar/cortical bleed
cerebral amyloid
thunderclap HA
subarachnoid
Hypertensive vasculopathy brin bleed locations
basal ganglia cerebellar thalmas pons *Charcot Bouchard aneurysms
Tearing of bridging veins
subdural hematoma
Internal capsule stroke
motor
maybe sensorimotor
Lateral Medullary infarction
PICA
Ipsilateral
Pain temp face
Ipsi Horner
Contralteral
pain temp body
Midbrain stroke
CN 3 palsy
ataxia
contralateral hemiparesis
Putamen stroke
HTN
contralateral hemiparesis and sensory loss
Conjugate gaze TOWARDS lesion
Thalamic pain syndrome
paroxysmal burning
Are DTRs present in brain death
can be since they are spinal
Three most common CA in kids
Leukemia
CNS
Neuroblastoma
Neuroblastoma
adrenal gland or symp chains
may have ↑ HVA and VMA
Define Caput Succedaneum
diffuse swelling of scalp
Cephalohematoma
baby born bruise
most resolve in 2 weeks
Riluzole treats?
ALS
glutamate inhibitor
Physiology of NPH
CSF is not reabsorbed
Bedside test for myasthenia gravis
ice pack
improves tosis
Severe cancer pain should be treated with?
Short acting opioids
first line rx for mysathenia gravis
pyridostigmine
anti-Cholestsase inhibitor
Agitation in the elderly is treated with?
low dose haloperidol
