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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

CN XII

Hypoglossal - Supplies motor fibers to the muscles of the tongue. Observe for fasciculations of the tongue