Flashcards in Neurological Deck (29)
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1
Red flags for headaches - SAH
Sudden onset in seconds or minutes
2
Red flag for headache - Hemorrhage or infection
"first or worst headache"
3
Red flag for headache - Mass, AVM
Focal neuro symptoms
4
Red flag for headache - Infection
Fever
5
Red flag for headache - Other
change in personality, mental status, LOC
6
Papilledema
Swelling of the optic disc due ot increased ICP. Almost always bilat
7
When to image with a HA
* Red Flags
* Change in pattern, frequency, or severity of HA
* Worsening of HA despite therapy
* Abnormal exam
* Onset of HA with exertion, cough, sex
* New onset > 40 yo
8
Duration of migraine
4-72 hours
9
Trigeminal Neuralgia
sudden, brief, unilateral facial pain
Distribution over one or more branches of CN V
Common in elderly
10
Tx Trigeminal Neuralgia
carbamazepine (Tegritol)
11
Tx of bells palsy
Steroids and acyclovir
12
Vertigo - Peripheral Etiology
benign positional vertigo
Meniere's disease
acoustic neuroma
otitis media
13
Vertigo - Central Etiology
migrainous vertigo, brainstem ischemia, MS, chiara malformation
14
Sx of Parkinson's disease
rest tremor, rigidity, bradykinesia, and gait disturbance
15
Dx of Parkinson's
Dopaminergic therapy
16
What helps physiologic tremors?
propanolol
17
What labs should you draw with suspected dementia?
B12, TSH, CBC, CMP, folate
18
CN I
Sensory - Olfactory
19
CN II
Optic - Test with snellen chart, finger count
20
CN III
Oculomotor - Test pupillary constriction, accommodation
21
CN IV
Trochlear - Responsible for for movement of the superior oblique muscle. LS6 SO4
22
CN V
Trigeminal - Sensation to face, nasal and buccal mucosa, and the teeth. Moter responsible for mastication
23
CN VI
Abducans - Responsible for movement of the lateral rectus muscle
LR4 SO4
24
CN VII
Innervates the facial muscles and supplies taste to the anterior 2/3 of tongue
25
CN VIII
Vestibuloocular - Hearing, balance, and awareness of position
26
CN IX
Glossopharangeal - Supplies sensation to the pharynx, posterior 1/3 of the tongue, and tympanic membrane
27
CN X
Vagus - Supplies parasympethetic fibers to the viscera of the chest, abdomen, motor fibers of the pharynx, larynx
28
CN XI
Spinal accessory - Motor nerve supplying the sternocleidomastoid and trapezius muscles
29
