Everything else Flashcards
(34 cards)
Which medication is preferred for treating hyperprolactinemia in a patient attempting conception?
Promocriptine
What’s the (most common) symptoms in pre-menopausal women with hyperprolactinemia?
Infertility
What’s the most common class of medication associated with hyperprolactinemia??
Antipsychotic( ex: risperidone)
If the patient has prolactinemia , do you immediately start medication?
No, Check medication history, TSH, trauma
And do MRI !!!!!!
What’s the most common symptoms of hyperprolactinemia in men?
Importance and erectile dysfunction
What’s the first line treatment in patient with hyperprolactinemia and compressive symptom?
It’s always Cabergoline
Can improve headaches
In cases of hyperprolactinemia, is dopamine low or high in serum ?
It’s low(decreased)
Because dopamine inhabit prolactin , so if it’s slow, it means prolactin high
Patient speaking in short sentences and impaired repetition, and write facial drop and right side, limb weakness
Where is the stroke?
Left middle cerebral artery
MCA
Irregular, irregular, PR interval and absence P wave, and stoke, what’s the origin?
Atrial fibrillation Afib
Patient with left facial drop, and left side weakness, but non-neurological abnormalities. What’s the diagnosis?
Lipohyalinosis of Lenticulostriate arteries
(Sensation is intact )
Patient with short-term memory loss
But recall everything before the incident of stroke, what’s the part affected in brain?
Pyramidal cells of the hippocompass🇪🇬
Young patient with stroke symptom, and signs of DVT, what’s the cause?
Patent foreman oval (paradoxical embolism)
Patient has transit ischemic attack
But then she seems to have a trial fibrillation, what medication to give?
Rivaroxaban (anticoagulant) to prevent thrombus formation
Patient who went for coronary artery bypass grafting surgery, but patient developed vision loss MRI of the brain shows wedge shaped cortical infract in both occipital loops. What’s the cause?
Systemic hypotension
Patient with stroke who has left side weakness and decrease sensation, urine incontinence, and speech difficulty, and fat affect ,
what’s the affected artery ?
Right anterior cerebral artery
ACA
Direction change of nystagmus, vertical nystagmus, mild in severity, instability, a negative head thrust test, what’s the diagnosis and what to do?
Central cause of vertigo
Do brain MRI
Patient with stroke symptoms, CT scan of the brain shows hyper density in the left middle cerebral artery, patient received medication and symptoms improved after afterward
What’s the medication?
Alteplase (if given within 4.5 hours)
Patient in emergency with stroke symptoms, what kind of imaging to do next??
CT head without contrast
10 months old female with UTI. We started her on antibiotic and she improved what to do now.?
US bladder ( for all children 2-24months Old)after UTI treatment
Bonnie growth bilateral ears, circumferential, and medial to the ESC ithmus
What’s the diagnosis?
Exostoses (surfing ears) 🏄🏻
If it’s unilateral , pedinclated, and lateral to the EAC= osteoma
What’s the most common malignancy of the ears?
Squamous cell carcinoma
Chronic suppurtive otitis media is a risk factor
Middle age patient complaining of decrease hearing , there is history of working in construction, what will you see an audiometry?
audiometry there is V or U shape and higher frequency from 3000 to 6000 Hz
Meniere disease? What’s the triad and what do you see in the audiometry?
1-Decrease hearing, tinnitus, and vertigo
2-up slopping in low frequencies
Old patient with hearing loss in one ear, tinnitus, and dizziness, geometry shows down slope, and MRI positive for a mass
What’s the diagnosis?
Acoustic neuroma (unilateral)
Bilateral in case of fibromatosis (can present with facial weakness)
