12/21/12 b Flashcards Preview

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Flashcards in 12/21/12 b Deck (18):
1

What do you call a focal paresis/paralysis typicaly lasting less than 24 hrs following a seizure?

Todd's paralysis (Postictal paralysis)

2

What does Todd's paralysis indicate about the nature of the seizure?

likely d/t structural abnormality

3

What diagnostic measure should be taken first in all pts w/ suspected renal disease?

urinalysis

4

What enzyme is deficient in the more severe form of galactosemia (classic galactosemia)?

Gal-1-P uridyl transferase

5

What enzyme is deficient in the less severe form of galactosemia?

galactokinase

6

Small red patch progresses to indurated, shiny, tense patch over cheek. Hx of trauma or pharyngitis. raised, sharply demarcated advancing margins. Lymphatic involvement possible. Dx?

erysipelas

7

What bug causes most erysipelas?

Strep

8

A flat lesion that differs in color from the surrounding skin.

macule

9

An elevated, solid lesion that is generally small (<5mm in diameter).

Papule

10

In what 2 locations is neuroblastoma most likely to arise?

adrenal glands or sympathetic paraspinal ganglia

11

What is the other name for Osgood-Schlatter's disease?

traction apophysitis of the tibial tubercle

12

How can you differentiate Osg00d-Schlatter's from patellar tendonitis clinically? On X-ray?

prepatellar bursitis will have point tenderness over inf pole of patella; OS will show separation, irregularity, or fragmentation of the tibial tubercle

13

What is the difference between a partial and a generalized seizure?

partial = focal (may include automatisms, hallucinations); generalized = diffuse (includes tonic-clonic)

14

What differentiates complex partial seizures from simple partial ones?

loss of consciousness

15

What are the characteristics of Lennox-Gastaut syndrome? Typical age of presentation?

frequent seizues of many types, usu. w/ dev. delay and psych problems; 2-6 y.o.

16

What are the 2 main characteristics of Jervell-Lange-Nielson syndrome?

long QT and congenital deafness

17

What is the Tx for asymptomatic long QT syndrome?

beta-blcoker such as propranolol

18

What is the Tx for long QT syndrome that is symptomatic or has documented episode of syncope?

beta-blocker + DDD pacemeaker