yellow pages: headache infections intoxications

Question 1

Treatment for trigeminal neuralgia

Answer 1

Carbamazepine; r/o MS in a young patient

Question 2

Temporal arteritis: sx

Answer 2

Anemia, jaw claudication, headaches, weight loss

Question 3

CSF profile: cryptococcus

Answer 3

ELEVATED opening pressure, lymphs elevated

Question 4

CSF profile: HSV encephalopathy

Answer 4

necrotizing RBCs, WBCs

Question 5

CT: HSV encephalopathy

Answer 5

hypodense areas in temporal lobes

Question 6

HSV encephalopathy treatment

Answer 6

acyclovir

Question 7

Cryptococcus treatment

Answer 7

amphotericin B, flucytoseine

Question 8

CT: cryptococcus

Answer 8

mildly enlarged ventricles

Question 9

Sequelae of bacterial meningitis in kids?

Answer 9

Bilateral sensorineural hearing loss

Question 10

Infection to consider when pt from Asia presents with feeling unwell for a month,CN VI palsy, stiff neck, CT with mildly enlarged vents?

Answer 10

TB; results in basilar meningitis

Question 11

CSF profile: TB meningitis

Answer 11

low glucose, elevated whites (lymphocytes), mildly elevated protein

Question 12

Ramsay-Hunt Syndrome

Answer 12

Reactivation of VZV in the geniculate ganglion (nerve cell bundle of facial nerve); results in facial palsy, VZV erythematous vesicular rash in ear canal/palate/tongue, taste loss in ant 2/3 of tongue, dry mouth and eyes

Question 13

Treatment for epidural abscess?

Answer 13

Cover skin flora, including MRSA — ceftriaxone/vancomycin

Question 14

Infection: pt from carribbean presenting w/tonic-clonic seizure and multiple calcified lesions on CT?

Answer 14

Neurocysticercosis (T. solium)

Question 15

Treatment for neurocysticercosis?

Answer 15

Albendazole

Question 16

Prophylaxis for contacts of pt with bacterial meningitis?

Answer 16

Rifampin — reduces NP colonization of N. meningitis

Question 17

Etiology of peripheral CN VII palsy in adults?

Answer 17

Thought to be HSV; treat with prednisone in first 48 hours; +/- valacyclovir

Question 18

Presentation of CMV in neonate?

Answer 18

Hearing loss, spasticity, hyper intensity on periventricular margin

Question 19

Lyme disease in kids?

Answer 19

Bilateral CN VII palsy

Question 20

Carbon monoxide exposure: presentation

Answer 20

AMS, headache, nausea, others in house are not feeling well

Question 21

Vitamin E deficiency: presentation

Answer 21

Spinal and cerebellar signs: ataxic gait, absent ankle reflexes, diminished proprioception at toes and ankles

Question 22

B6 intoxication

Answer 22

Numbness and tingling in legs, diminished proprioception and vibration to mid-calf, absent DTRs; associated w/isoniazid prophylaxis for TB

Question 23

Treatment of organophosphate poisoning?

Answer 23

Atropine, pralidoxime

Question 24

Lead poisoning

Answer 24

Autonomic sx, extensor weakness, microcytic anemia

Question 25

Phenytoin / carbamazepine excess

Answer 25

Cerebellar sx: horizontal nystagmus, bilateral limb dysmetria, ataxia

Question 26

Manganese intoxication: appearance on MRI

Answer 26

Hyperintensity in basal ganglia on T1

Question 27

Arsenic poisoning

Answer 27

Nausea, vomiting, tinnitus; oval patches on neck, hyperpigmented areas in axillae; decreased pp sensation in feet; grayish lines in nailbeds