Dr. Wannamaker Neuro
Terms
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- walking, especially up an incline makes the pain worse
- recognize classic pain and description of spinal canal stenosis.
- cutaneous distribution of compressed nerve root
- define radicular pain.
- speech is fluent and effortless but sentences lack meaning
- Recognize receptive (Wernicke's) aphasia
- available quickly, at lower cost, and with less restrictions than MRI
- Pros of CT scan for imaging?
- CN 8
- ID cranial nerve involved in acoustic neuroma.
- due to cirrhosis; treat with restrict enteral protein and Lactulose (cleanses bowel and acidifies colonic contents)
- Diagnose hepatic encephalopathy and how to treat
- Alert and oriented X 1, 2, or 3; level of consciousness - determine by the stimulus needed to awaken (voice, touch, pain)
- Name the levels of consciousness
- nonfluent, slow speech; words are meaningful but small words of dropped; spontaneous speech is impaired
- recognize expressive (Brocha's) aphasia
- N - T-4; U - T-10
- dermatome of nipple and umbilicus.
- Pinpoint pupils; treatment: Naloxone
- Narcotic/opoid overdose - how to identify and treat
- bladder and bowel problems
- Red flags for pathologic back pain?
- reduces the size of the IV foramina
- understand physiology of extension of the spine.
- contraindications: pacemaker, ferrous foreign body; relative contraindication: claustrophobia/non-magnetic artifact
- Limitations of MRI for imaging?
- symptoms: severe headache, nausea with vomiting, visual disturbance, confusion, and coma; findings: retinal hemorrhages and papilledema; treatment: Nitroprusside
- diagnose hypertensive encephalopathy and treatment of choice
- Must include all 7 vertebrae to C7-T1 junction
- quality lateral C-spine x-ray must have what?
- most common type of hereditary ataxia; begins in childhood; progresses to areflexia and babinski sign before age 25; most common cod: heart failure due to ventricular hypertrophy
- identify common properties, symptoms, and physical findings of friedreich's ataxia (cause of death)
- pupils fixed at 24 hours after atropine and epinephrine have worn off; apnea off ventilator for 10 minutes; no cerebral circulation; corneal, gag, and occulocephalic reflexes negative; no oculovestibular response (cold H2O in ear)
- Recognize criteria for declaration of brain death.
- unconsciousness, unresponsiveness to ANY stimuli; no voluntary movement; Deep coma = NO DEEP TENDON REFLEX ACTIVITY
- define coma
- voice disturbance due to the larynx or its innervation
- recognize dysphonia signs
- thorax
- know where osteoporosis vertebral fractures occur.
- legs widely apart and extended, arms extended to compensate for balance, short steps, and look at ground (frankenstein)
- recognize ataxia of gait
- epilepsy/seizure to diagnose and monitor response to therapy; NOT for assessing brain death
- Indication of EEG?
- IV disc and vertebral body anteriorly = weight bearing; everything else = non-weight bearing
- Differentiate weight bearing vs non-weight bearing components of the spinal column.
- 0 - none; 1 - muscle contraction; 2 - movement but not against gravity; 3 - movement against gravity; 4 - active power; 5 - normal strength
- grade muscle strength?
- bradycardia, hypertension, hyperventilation
- Clinical indicators of raised ICP
- hyperventilation, Mannitol (to draw fluid off brain) and Furosemide to enhance diuresis
- Medical treatment for raised ICP
- motor deficiency - problem with facial muscles
- recognize dysarthria signs
- MRI
- Definitive imaging study of SC?
- unilateral senorineural hearing loss
- Recognize most common symptom of acoustic neuroma.