neuro Flashcards
(54 cards)
types of lesions involved in alzheimers
-amyloid plaques
-neurofibrillary tangles
s/s of alzheimers
-difficulty learning and recalling information
-visuospatial problems
-language impairment
-behavior changes
diagnosis of alzheimers
clinical
-cerebral atrophy on imaging
treatment of alzheimers disease
donepezil
rivastigmine
memantine
s/s of bells palsy
acute onset facial weakness
bells palsy vs stroke
bells palsy: forehead does NOT wrinkle with raising eyebrows
stroke: forehead DOES wrinkle with raising eyebrows
diagnosis of bells palsy
clinical
treatment of bells palsy
-prednisone
-valacyclovir
types of stroke
-ischemic: thrombotic or embolic
-hemorrhagic: intracerebral or subarachnoid
etiology of intracerebral hemorrhage
prolonged uncontrolled hypertension
s/s of stroke
-facial drooping
-hemiparesis
-vision loss
-aphasia
-ataxia
-HA
-LOC
most important piece of info for stroke
last known normal
stroke workup
ct without contrast
treatment of ischemic stroke
-determine tpa eligibility
-bp less than 185/110 before tpa can be administered
-if not eligible for tpa, cant treat until bp is 220/120
treatment for intracerebral hemorrhage
reduce bp to 130-140
treatment of subarachnoid hemorrhage
reduce bp to 160
TIA
stroke like symptoms that resolve in 1-2 hours
workup and treatment of TIA
same as stroke
s/s of vascular dementia
-memory impairment
-difficulty with timed activities
-behavior symtpoms
diagnosis of vascular dementia
white matter lesions on MRI
management of vascular dementia
same as alzheimers
s/s of dementia with lewey bodies
-fluctuating cognitive impairment
-tremors
-bradykinesia
-gait changes
-visual hallucinations
diagnosis of dementia with lewy bodies
autopsy
treatment of dementia with lewy bodies
same as alzheimers
