Emilie Shared "Neuro" - 21 Picmonics
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Neuro
Restless Legs Syndrome
- Pathophysiology
- Idiopathic
- Iron Deficiency
- Parkinson's Disease
- Signs and Symptoms
- Urge to Move the Legs
- Unpleasant Sensations in Legs
- Worsens with Inactivity
- Relieved by Movement
- Treatment
- Iron Supplementation
- Self-care
- Gabapentin
- Pramipexole
2 mins
Myasthenia Gravis
- Mechanism
- Antibodies to Acetylcholine Receptor
- Symptoms
- Ptosis
- Diplopia
- Weakness with Muscle Use
- Respiratory Death
- Thymus Associated
- Treatment
- Acetylcholinesterase Inhibitors
- Plasmapheresis
- Thymectomy
1 min
Amyotrophic Lateral Sclerosis (ALS)
- Assessment
- Progressive Muscle Weakness
- Systemic Muscle Wasting
- Fasciculations
- Spasticity
- Fatigue
- Considerations
- Riluzole (Rilutek)
- Stretching
- Little to No Cognitive Decline
- Respiratory Support
- Palliative Care
2 mins
Multiple Sclerosis Interventions
- Drug Therapy
- Corticosteroids
- Interferon Beta
- Dimethyl Fumarate (Tecfidera)
- Fingolimod (Gilenya)
- Mitoxantrone (Novantrone)
- Natalizumab (Tysabri)
- Considerations
- Increase Exercise
- Identify Triggers
2 mins
Multiple Sclerosis Symptoms and Diagnosis
- Symptoms
- Optic Neuritis
- Internuclear Ophthalmoplegia
- Scanning Speech
- Urinary and Fecal Incontinence
- Motor Issues (Intention Tremor, Paresis)
- Numbness and Pain
- Depression
- Relapsing Symptoms
- Diagnosis
- Gold Standard = Plaques on MRI
- Increased CSF Immunoglobulins (IgG)
- Oligoclonal Bands
4 mins
Multiple Sclerosis Features and Mechanisms
- Features
- More Common in Women
- Presents in 20's and 30's
- Northern Europeans
- Mechanism
- Unknown mechanism, genetic factor
- HLA-DRB1
- Autoimmune Demyelination of CNS
- White Matter of Brain and Spinal Cord
- T Cell Mediated Inflammation
2 mins
Cataract
- Mechanism
- Age-related
- Assessment
- No Pain
- Cloudy Opaque Lens
- Decreased Visual Acuity
- Occurs Gradually
- Treatment
- Surgery
1 min
Guillain-Barre Syndrome Assessment
- Assessment
- Ascending Paralysis
- Muscle Weakness
- Paresthesias (Pins and Needles)
- Diplopia
- Difficulty Speaking
- Dysphagia
- Labile Blood Pressure
- Loss of Bowel and Bladder Control
- Considerations
- Aggressive Airway Management
2 mins
Trigeminal Neuralgia (Tic Douloureux)
- Tic Douloureux
- Cranial Nerve V - Trigeminal Nerve
- Characteristics
- Stabbing Unilateral Facial Pain
- Facial Spasms
- Psychological Disturbances
- More Common in Women > 60 Years Old
- DIAGNOSIS
- Diagnosis by Clinical Impression
- MRI
- Treatment
- Carbamazepine
- Surgery As Last Resort
3 mins
Huntington's Disease
- Pathophysiology
- Autosomal Dominant
- Trinucleotide Repeat
- CAG Repeats
- Chromosome 4
- Anticipation
- Caudate
- Decrease of ACh
- Decrease of GABA
- Signs and Symptoms
- Chorea
- Dementia
- Depression
- Glutamate Toxicity
- Neuronal Death via NMDA Binding
3 mins
Parkinson's Disease Assessment
- Assessment
- Decreased Dopamine
- Older Adult
- Cogwheel Rigidity
- Bradykinesia
- Shuffling Gait
- Resting Tremor
- Pill-Rolling
- Mask-Like Face
- Cognitive Decline
2 mins
Parkinson's Disease Interventions
- Medications
- Levodopa/Carbidopa (Sinemet)
- Entacapone (Comtan)
- Selegiline (Eldepryl)
- Amantadine (Symmetrel)
- Bromocriptine (Parlodel)
- Benztropine (Cogentin)
- Considerations
- Allow Extra Time
- Ensure Patient Safety
- Surgery As Last Resort
2 mins
Levodopa/Carbidopa (Sinemet)
- Indications
- Parkinson's Disease
- Mechanism of Action
- Increase Dopamine in Brain
- Cross blood-brain barrier
- Increase bioavailability
- Side Effects
- Arrhythmias
- Dyskinesia
1 min
Lyme Disease
- Mechanism
- Transmitted by Ticks (Vector-borne)
- Signs and Symptoms
- Flu-like Symptoms
- Bulls Eye Rash (Erythema Migrans)
- Joint Pain and Stiffness
- Facial Paralysis
- Considerations
- Antibiotics
- Prevention
2 mins
Fibromyalgia
- Features
- Chronic, Widespread Pain
- Most Common in Adult Females
- Symptoms
- Tender Points
- Stiffness
- Paresthesias
- Insomnia
- Fatigue
- Cognitive Impairment
- Management
- Regular Exercise
- Tricyclic Antidepressants (TCAs)
- Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
- Gabapentin
2 mins
Gout Disease
- Acute Inflammatory Monoarthritis
- Epidemiology
- Primarily in Males
- Pathophysiology
- Precipitation of Monosodium Urate Crystals
- Underexcretion of Uric Acid
- Overproduction of Uric Acid
- Negatively Birefringent, Needle-Shaped
- Symptoms
- Swollen, Red, Painful Joint
- Asymmetric Joint Distribution
- Podagra
- Tophus
- After Large Meal or Alcohol
2 mins
Osgood-Schlatter Disease (Tibial Tubercle Apophysitis)
- Pathophysiology
- Apophysitis of Tibial Tubercle
- Active, Young Boys
- Running and Jumping
- Overuse Injury
- Recent Growth Spurt
- Signs and Symptoms
- Diagnosis Made on History
- Anterior Knee Pain
- Enlarged Tibial Tubercle
- Edema
- Treatment
- Rest
- NSAIDs
- Activity Restriction
- Self-limiting
2 mins
Carpal Tunnel Syndrome
- Median Nerve Entrapment
- Compression at Carpal Tunnel
- Numbness, Tingling and Pain in Hand
- Diagnosis
- Phalen's Maneuver
- Tinel's Sign
- Treatment
- Splints
- Surgery
- Steroids
2 mins
Cluster Headache
- Presentation
- More Common in Men
- Unilateral Periorbital Headache
- Ipsilateral Tearing
- Precipitated by Alcohol
- Stabbing Pain
- Duration
- 15 min - 3 Hours
- Repetitive Attacks in Clusters
- Treatment
- High Flow 100% O2
- Ergots
- Sumatriptan
2 mins
Ischemic stroke management
- <3 hrs tx. is thrombolytics
- tPA (tissue plasminogen)
- > 3hrs tx. anti-platelets
- Aspirin + dipyridamole
- Clopidogrel (Plavix)
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