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Flashcards in Neurology Deck (280)
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211

Hyporeflexia

Eaton lambert

212

Normal relfex

MG

213

Abx infxn worse

MG

214

Small cell CA

Eaton labert

215

Thymoma

MG

216

Pre-synaptic Ab

Eaton lambert

217

Post-synaptic anti-acetychoie rct ab

MC

218

Ptosis/diplopia

MG

219

Muscle wkness

MG & eaton lambert

220

60yo M pw complaints of pain in shoulders, tired at end of day acan't keep head up - recently choked on food, slurring speech - has had diffuctly wearing pants /shirt - exam mild wk neck muscles- twithcing of shoulder - spasticity of muscles, hyper reflexia - sensory exam ok dx?

ALS
dx - EMG
tx: Anti=glutamic acid - Riluzole

221

Spinal cord

Myelopathy - Upper motor neuron
Radiculopathy - Lower motor neuron

222

Cervical spondylitis

Compression of cervical Cord - UMN with sensory changes
UMN changes: Spasticity, hyper-reflexia of deltoid, beceps, triceps, extensor plantars
Sensory changes - Loss of position and vibration sense in lateral arm/lateral 3 fingers
Dx: MRI/yelogram
Tx: Steroids

223

Syringomyelia

Cavitation of central spinal cord -> LMN with sensory changes
LMN changes - weakness of upper limbs; start with hands and proceeds proximally to shoulders
Sensory chages - Lateral column changes: temperature and pain sensation lost - touch and vbration preserved
Dx: MRI
Tx: Monitor if progresses - > surgery

224

Pt with wk of hand now progresses to shoulder - pain/temp sensation lost but touch and vibration preserved - MRI cavitary lesion of spinal cord

Syringomyelia

225

Pt with deep ache in buttocks and thighs when standing, disappears on sitting

Spinal stenosis

226

Pt with pain in thoracic area - flu one week ago or SLE - Now with wk of legs and bladder disturbances - getting worse - hyperreflexia (UMN)

Transverse myelitis

227

Pt with stock and glove districtuion of tingling senssation, pt confused has ataxia, spasticity and clonus

Subacute combined degenration of spinal cord

228

Pt with loss of vibration in lateral three fingers, hyper reflexia of deltoid, bicepts and triceps

Cervical Spondylitis

229

Radiculopathy

L 5 +foot drop, can't evert OR invert foot
Peroneal +foot drop can't evert but CAN invert foot

230

Reflexes

L5 - dec'd dorsiflexion, NO ankle jerk
S1 dec'd plantar flexion - dec'd ankle jerk

231

Elderly pt with c/o back pain inc'd wiht walking - expecially down hill and standing - numbness in legs - decreased while sitting - MRI would show?

Spinal stenosis
Ligamentum flagum

232

55yo M after lifting weights - lower back pain - leg raise >45 deg with pain - anal sphincter tone good, dorsiflexion R foot slightly dec'd, ankle jerk dec'd

Sciatica with herniated disc

233

If anal sphincter tone lost or bldder fxn wtdd?

MRI - r/o cauda equina syndrome

234

Sensory loss on Lateral aspect of thigh what spinal segment?

L2

235

One of most common causes of mononeuritis multiplex

PAN

236

Polyneuropathy - Guillan barre

Guillain Barre - inflammation of nerves with segmental demyelination
LMN - ascending paralysis
CSF - in'c protien, normal WBC
Nerve conducion - slow conduction
tx: IVIG-> plasma phereisis
Elective intubation if reps muscles invovled

237

Botulism -

Descending paralysis
blurred vision, diplopia, dysarthri, dysphagia
diarrhea/vom in young pt with dilated pupils
Labs; toxin in serum or stool
Tx: botulism anti-toxin

238

Cyclist with paresthesia in little finger adn inability to adduct little finger and index finger - hypothenar wasting

Ulnar neuropathy

239

Nocturnal awakening with pain and paraesthesias

Median nerve

240

Alcoholic with diplopia and weakness of the right hand

Radial neuropathy