Neurologic Flashcards
1
Q
Seizure
- Primary Generalized: describe two main types
- Focal: describe two main types
- Criteria for static epilepitus
A
Primary Generalized
- Tonic-Clonic: incontinence, post-ictal
- Myoclonic: contraction single muscle group
Focal
- Simple focal: twitching without impaired consciousness
- Complex focal: impaired consciousness
Static epilepitus
- 30mins seizure activity, repeating episodes without regaining consciousness
2
Q
Timing for fibrinolysis in ischemic stroke
A
<3 hours from CVA onset
3
Q
Intracranial bleeding
Epidural/Subdural/Subarachnoid
- Vessel
- Symptoms
- Diagnosis
- Treatment
A
4
Q
Serotonin Syndrome
- Onset
- Symptoms
- Treatment
A
- Onset <24hours
- Hyper everything, HA, confusion
- Serotonin antagonist
5
Q
Neuroleptic Malignant Syndrome
- Onset
- Cause
- Symptoms
- Treatment
A
- Onset over weeks
- Decreased dopamine function due to dopamine blockade (neuroleptic medications)
- Hyperthermia, muscle rigidity, altered conscioussness
- Treatment: dantrolene, hold neuroleptic drugs
6
Q
Parkinson disease
- Symptoms
- Pathophys
- Treatment
A
- resting tremor, postural instability, bradykinesia
- Dopamine receptors defective in substantia nigra
- Dopamine agonists, anticholinergics
7
Q
Huntington disease
- Symptoms
- Pathophys
- Treatment
A
- Chorea (abnormal, involuntary movements), dementia
- Atrophy of caudate nucleus
- No treatment available
8
Q
Alzheimer
- Symptoms
- Pathophys
- Treatment
A
- memory loss, unable to perform ADLs
- Pathophys unknown, but generally decreased levels of acetylcholine
- AVOID anticholinergics
- Treatment = Donepezil (Aricept) = Central acting acetylcholinesterase inhibitor
