Rayan Shared "PA 570 Neurology Week 1" - 17 Picmonics
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PA 570 Neurology Week 1
Essential Tremor
- Characteristics
- Most Common Tremor in Adults
- Positive Family History
- Clinical Findings
- Bilateral Upper Extremities
- Worse with Physical and Psychological Stress
- Better with Rest and Alcohol
- Management
- Beta Blockers
- Primidone
1 min
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
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
Tourette Syndrome
- Characteristics
- Motor and Vocal Tics
- Onset Before Age 18
- > 1 year
- Associations
- Obsessive-Compulsive Disorder (OCD)
- Attention Deficit Hyperactivity Disorder (ADHD)
- TREATMENT
- Cognitive Behavioral Therapy
- High-Potency Antipsychotics
- Atypical Antipsychotics
- Alpha-2 Agonists
- Tetrabenazine
4 mins
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
Cerebral Palsy (CP)
- Cause/Mechanism
- Maternal Infections
- Fetal Hypoxia
- Assessment
- Developmental Delay
- Neurological Dysfunction
- Spasticity
- Dysphagia
- Interventions
- Muscle Relaxants
- Muscle Exercises
- Assistive Devices
- Braces
2 mins
Multiple Sclerosis Assessment
- Cause/Mechanism
- Nerve Fiber Demyelination
- Assessment
- Motor Issues
- Cerebellar Signs
- Fatigue
- Paresthesias
- Spasticity
- Urinary Incontinence
- Optic Neuritis
- Considerations
- Women Between 20-50 Years Old
- Relapse and Remission of Symptoms
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 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
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
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
Myasthenia Gravis Assessment
- Weakness with Muscle Use
- Diplopia
- Ptosis
- Dysphagia
- Difficulty Speaking
- Fatigue
- Complications
- Cholinergic Crisis
- Overmedicated
- Myasthenic Crisis
- Not Enough Medication
- Respiratory Muscle Paralysis
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
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
Peripheral Neuropathy
- Hyporeflexia
- Muscle wasting
- Decreased sensation
- Carpal Tunnel Syndrome
- Meralgia Paresthetica
- Diabetes
- Amyloidosis
- Kidney Failure
- Small Cell Lung Cancer
- Drugs
- Alcohol
- Guillain-Barre syndrome
- Ischemia
- Charcot Marie Tooth Disease
- Nicotinic acid
1 min
Cranial Nerve Pathologies
- Cranial Nerve Pathologies
- Horner Syndrome
- Trigeminal Neuralgia
- Bell's Palsy
- Brain or Brainstem Lesion
- Microvascular Cranial Nerve Palsy
- Glossopharyngeal Neuralgia
- Multiple Sclerosis
- Arnold Chiari Malformation
- Amyotrophic Lateral Sclerosis (ALS)
- Guillain Barre’ Syndrome
- Parkinson's Disease
3 mins
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