Neuro Flashcards
(21 cards)
What is the difference between lethargy and obtunded?
Lethargy: drowsy but opens eyes
Obtunded: looks at you but doesn’t see you, goes back to sleep quickly, very slowly responsive
Cranial nerves poem?
Oh Oh Oh To Touch And Feel A Girls Vajayjay So Hot!
Kernig test
Flex ion at hip and knee causes pain.
Brudinski test
Flex ion of the neck causes flex ion of the hips and knees
Lab differences between bacterial and viral meningitis?
Viral: protein < 200
Leukocytes < 1000
Glucose is elevated
Bacterial is opposite
Normal icp?
0-15
GCS?
Eye opening 1-4
Motor response 1-6
Verbal response 1-5
Normal CPP (cerebral perfusion pressure)?
60-100
Proper dosing and administration of high dose solu-medrol? And why are you giving it?
30mg/kg over 15 minutes, wait 45 minutes then 5.4ng/kg/he over 23 hours.
Spinal cord injuries
S/s central cord syndrome
Paralysis of upper extremities but not lower
What is axial loading?
When energy travels up the spine. Landing on feet from high jump, divi injury.
LeFort fractures
1: separation of teeth from maxilla
2: upper teeth, bilateral orbits, nasal bone
3: complete separation of maxilla and zygomatic, leaking CSF
What is battle’s sign indicative of?
Basilar skull fracture
Subdural hematoma
Sub “duh” al
Occurred in the elderly
Slow bleed
Epidural hematoma
“Epi” Dural
Laceration of the middle meningeal artery
Loc, awake and alert, blown pupil
Subarachnoid hemorrhage
Thunder clap headache
Brain herniations
Uncal: midline shift, ipsilateral dilated pupils
Supratentorial: brain herniated downward
Crushings triad
Hypertension
Bradycardia
Widening pulse pressure
Brown sequard syndrome
Same side motor loss
Opposite side loss of pain and temp
What is trigeminal neuralgia
Pain over mandible and maxilla
Caused by cranial nerve 5
Can treat with tegratol
Temporal arteritis
Inflammation of temporal artery
Can be autoimmune
Can cause vision and hearing loss
Aching joints, night sweats, weight loss
