Seizures + MRI shown + Fever + Hedache, dx? Tx?
HSV encephalitis -> acyclovir
Tx for TTP (thrombotic thrombocytopenic purpura)
Plasma exchange therapy
Drooling + combative + caves + increased muscle tone, dx? Tx?
Rabies: IgG and vaccine
Delayed left sided peripheral facial nerve palsy, txt?
Steroids
Post herpetic neuralgia txt?
TCA. If contraindication such as hx heart disease, then gabapentin
Prochloperazine, what is? Indication?
Antiemetic, acute migraine + vomiting
Chlorpromazine, what is? Indication?
Antiemetic, acute migraine + vomiting
Increased Homocysteine levels, normal methylmalonic acid
Folate deficiency
Horizontal nystagmus + ataxia + confusion
Wernicke Encephalopathy
Does Vitamin B1 cause anemia?
NO
Elevated homocysteine and methylmalonic acid
B12 deficiency
Homocysteine and methylmalonic acid in Folate vs. B12
Homocysteine elevated in both. Methylmalonic elevated in B12.
Txt for hypertensive emergency
IV nitroprusside, Labetolol, and nicardipine
,Nitroprusside, time for onset? Indication?
< 1 min. Hypertensive emergency.
Txt elevated ICP
Mannitol
Penicillamine, zinc salts, trientine all treat
Wilson's disease
Txt acute iron poisoning
Deferoxamine
Acromegaly -> what cardiac disease?
Cardiomyopathy -> CHF
Dilated cardiomyopathy, bradycardia, dypsnea + hoarseness + pretibial and
periorbital edema, dx?
Generalized myxedema from hypothyroidism
Down syndrome + ataxia + quadriparesis + hyperreflexia + vertigo / diplopia, dx?
Tx?
Atlantoaxial instability. Surgical fusion.
Atlantoaxial instability is associated with
Down syndrome
Duplication of PMP22 gene
Charcot Marie Tooth Disease
Blurry vision + HA + optic disc cupping. Dx? Tx?
Open angle glaucoma. Topical prostaglandins (latanoprost) 1st line. 2nd line timolol.
Latanoprost, what type of drug?
Prostaglandin
Surgical Trabeculectomy, indication?
Primary open angle glaucoma that is refractory to medical tx
Scary side effect antiemetics
Neuroleptic malignant syndrome (since dopamine antagonists)
Hear better in noisy places, soft monotonous speech, bilateral conductive
hearing loss, tinnitus
Otosclerosis
, Bone conduction > air conduction indicates
Negative Rinne Test. Conductive hearing loss
Positive Rinne Test
Sensorineural hearing loss
Endolymphatic hydrops is another name for
Meniere disease
Sunset eyes suggests
Congenital Hydrocephalus
HA + eye edema + CN 6 palsy + increased ICP, dx? Tx?
Cerebral venous thrombosis. LMWH.
What nerve innervates Gluteus medius and minmus? What gait do you see when
damaged? How can it be damaged in kids?
Superior gluteal nerve. Trendelenburg. Vaccine ***********!
Vaccine in butt -> damage what nerve? -> presents as what?
Superior gluteal nerve. Trendelenburg gait.
Risk factor for cerebral palsy
Premature birth
Abnormally large pupil ____ mm
Greater than 5 mm
First line txt painful diabetic neuropathy
Pregabalin
Mulitiple System Atrophy sxs
Motor abnormalities + autonomic dysfunction + cerebellar
Postural instability + dysarthria + disinhibition + vertical gaze palsy
PSP
What is unique to PSP?
disinhibition + vertical gaze palsy
Back pain: worse in morning and improves with activity + leukocytosis + elevated
ESR + X-ray shows erosion and sclerosis of SI joints + spinal lordosis, dx?
Ankylosing spondylitis
Txt cryptococcal meningitis
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