World Flashcards
HSV Encephalitis Presentation
Acute neuro findings
Temporal involvement
CSF Lymphocytosis, RBCs, and ↑ protein
Benzo Reactions in Elderly
Paradoxical agitation
AMS
Falls
Infant von gierke presentation
3-4 months old
hypoglycemia–> sz
lactic acidosis
↑ uric and lipids
Infant von gierke looks
doll like face (fat cheeks)
thin extremities
short
↑ tummy (liver/kidney enlarged)
Anterior humeral dislocation nerve problem
most common dislocation
Axillary nerve damage
caused by shearing forces to the bridging veins
subdural hematoma
crescent shaped hypodensity
Antipsychotics cause prolactinemia by blocking Da in the _________ pathway
tuberoinfundibular
hyper-prolactin–> sex dysfx,
Transtentorial herniation is most likely to affect this CN
CN 3
What is MOA of modafinil
non-amphetamine
Promotes awakness
1st line for daytime sleepiness
What’s the scariest complication of guilan barrie
resp failure
serial forced vital capacity can monitor
Internal Carotid injuries can result from?
posterior oropharyngeal injuries
aka tripping with toothbrush in mouth
s/s: hemiplegia, facial droop, aphasia
Neurofibromatosis Type 1 s/s
cafe-au-lait spots macrocephaly feeding problems short learning disability
pseudotumor-cerbri rx
wt loss
acetazolamide
What seizure does not have a postictal state
absence
What is a neuro side effect of excess vitamin A
idiopathic intracranial hypertension
Where is the ulnar nerve most likely to compress
the elbow
What can cluster headaches present with
- horner’s syndrome
- redness and tearing of eye
- runny nose
Reasons to neuroimage child with headache
incoordination
numbness/tingling
Focal Neuro Signs
HA that awakens from sleep
How do you treat myasthenic crisis?
IVIG and corticosteroids
define small vessel lipohylalinosis
lacunar stroke
Lacunar stroke s/s
commonly affects internal capsule
pure motor hemiparesis
Define Shy Drager syndrome
aka multiple system atrophy:
Parkinsonsim
Autonomic dysfx
Widespread neuro signs
define Riley- Day syndrome
ashkenazi
autonomic dysfxn
severe orthostatic
How does frontotemporal dementia present
early personality change
impulsive behavior
early onset
strong family hx
Rx for brain mets
single: surgical
multiple: whole brain radiation
Work up for febrile sz
does not require work up
reassurance and discharge
Antibiotic that causes ototoxicity
Aminoglycosides, esp Gentamicin
Damages hair cells
s/s of wernicke
↓ Thiamine
encephalopathy
oculomotor dysfunction
gait ataxia
s/s or korsakoff syndrome
Chronic ↓ Thiamine
irreversible amnesia
confabulation
apathy
Findings of hyperammonemia
anorexia irritability disorientation Astrexisis coma
Comorbidities of absence sz
Psych- often ADHD
What is cataplexy
intermittent muscle weakness triggered by strong emotion
typical in narcolepsy
How does papilledemia present
transient vision loss with changes in head position
Cauda Equina lesions cause ___ motor neuron signs
lower
Which “cauda/conous” syndrome has early bowel/ bladder dysfxn
conus medullaris
also UMN signs
primary brain met is usually from what CA?
breast/colon/renal
which CA causes mult brain mets
Lung
Melanoma
Most likely CA to met to brain?
Lung
What is prochlorperazine?
Anti-emetic
1st line rx for restless leg syndrome
Iron
Pramipexole- Da agonist
Gabapentin- CA channel blocker
botulism rx
equine antitoxin
frontal temporal dementia is also called
pick
personality change early
Lewy Body dementia is
hallucinations
parkinsonism
cognitive impairment
