tPA for ischemic stroke can be given within how many hours of patient's last
known "well" time?
4.5 hrs
What should also be checked if the patient is having stroke-like symptoms?
blood glucose levels (sx could be caused by hypoglycemia)
What is often the cause of a patient reporting a sudden onset of severe
"thunderclap" headache?
Hemorrhagic stroke
Medications that cross the blood-brain barrier will cause what kind of effects?
Neurological
Difference between a simple partial and complex partial seizure
,Simple partial - focal seizure without loss of consciousness
Complex partial - focal seizure with loss of consciousness
Mini mental state exam (MMSE) is used for what?
Evaluation of chronic cognitive decline
what type of headache causes a band of tightness on back of neck?
tension
Pts with a hx of migraines with aura should never be given what?
Estrogen - will increase risk of stroke
The goal of migraine treatment is to reduce symptoms by what percent?
50%
Triptan medications are contraindicated in what conditions?
Heart disease
What type of headaches cause unilateral pre-orbital searing pain with ocular
injection?
Cluster
What disease causes acute unilateral headache located on the temple.
Pain is worsening with chewing and relieved when chewing stops. May also cause
low-grade fever and fatigue
Giant Cell Arteritis
How do you diagnose Giant Cell Arteritis?
temporal biopsy
Treatment for giant cell arteritis
,High-dose glucocorticoids
Homonymous Hemianopsia
Visual field defect involving either the two right or the two left halves of the visual
fields of both eyes - typically caused by a stroke
Amaurosis Fugax
Transient loss of vision in one of both eyes
Cause if plaque or a blood clot in the same carotid artery where a person
experiences blindness
This can be seen in Giant Cell Arteritis or is a sign of risk of stroke
Normal weight loss after birth
up to 10%
When should an infant be back up to birth weight?
2 weeks
Birth weight should double by what age?
6 months
Birth weight should triple by what age?
12 months
What age should a child be able to spoon/finger feed independantly?
15-18 months
Ages for simple sentences
2 words sentences - 2 years old
3 words sentences - 3 years old
, 4 words sentences - 4 years old
Precocious puberty ages in boys and girls
Girls - before 8 years
Boys - before 9 years
Delayed puberty in boys and girls
Girls - no thelarche (breast budding) by age 13 or no menarche by age 16
Boys - no testicular development by age 14
Babinski reflex
Reflex in which a newborn when big toe goes upward and rest of toes fan out
when the sole of the foot is stroked
Failure to thrive is defined as:
Less than 3-5th percentile on growth chart OR major weight loss between
percentile lines on growth chart
Cryptochidism
one or both testicles undescended from abdomen into scrotum
Treatment for Gonococcal or chlamydial ophthalmia in newborns
Topical ophthalmic erythromycin
Slipped Capital Femoral Epiphysis (pediatric)
Top of femur shifts at the growth plate
(pt will present with antalgic gait)
Legg-Calve-Perthes
necrosis of the femoral head due to an interruption of blood supply
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