Wayne Shared "ALL Term 5 MNI Part 2 of 2 (ALL)" - 503 Picmonics
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ALL Term 5 MNI Part 2 of 2 (ALL)
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
Internuclear Ophthalmoplegia
- ETIOLOGY
- Multiple Sclerosis
- Medial Longitudinal Fasciculus
- Mechanism
- CN VI Nucleus
- CN III Nucleus
2 mins
Hyponatremia
- Assessment
- < 135 mEq Na+
- Nausea and Vomiting
- Decreased LOC
- Confusion / Lethargy
- Seizures
- Priority Interventions
- Assess Airway
- Reduce Diuretic Dosage
- Fluid Excess Hyponatremia
- Mannitol (Osmitrol)
- Fluid Restriction
- Fluid Deficit Hyponatremia
- Hypertonic Solution (3% or 5% NaCl)
2 mins
Beriberi (Thiamine Deficiency)
- Thiamine Deficiency
- Dry Beriberi
- Polyneuritis
- Muscle Wasting
- Wet Beriberi
- Dilated Cardiomyopathy
- Edema
51 secs
Vitamin B1 (Thiamine)
- Mechanism
- Branched-chain Ketoacid Dehydrogenase
- Pyruvate Dehydrogenase
- Alpha-ketoglutarate Dehydrogenase
- Transketolase
- DEFICIENCY EFFECTS
- Wernicke-Korsakoff Syndrome
- Beriberi
- ATP Depletion
- Aerobic Tissues Like Brain and Heart Affected First
- Considerations
- Deficiency Can Worsen with Glucose Infusion
2 mins
Pilocytic Astrocytoma
- Occurs Most Commonly in Kids
- Posterior Fossa
- Cerebellum
- Well Circumscribed
- GFAP
- Rosenthal Fibers
- Eosinophilic Corkscrew Fibers
1 min
Meningioma
- Epidemiology
- Most Common Adult Primary Brain Tumor
- pathology
- Benign
- Originate from Arachnoid Villi
- Dural Attachment
- Parasagittal
- Clinical Manifestations
- Contralateral Leg Weakness
- Seizures
- Diagnosis
- Psammoma Bodies
- Calcifications
- Increased Bone Density
3 mins
Medulloblastoma
- Pathophysiology
- Occurs in Children
- Cerebellum
- Fourth Ventricle
- Diagnosis
- Small Blue Cells
- Lots of Mitotic Figures
- Homer Wright Rosettes
- Signs and Symptoms
- Hydrocephalus
- Ataxia
- Wide-based Gait
- Treatment
- Radiosensitive
2 mins
Ependymoma
- Occur in Children
- Fourth Ventricle
- Hydrocephalus
- Perivascular Pseudorosettes
- Rod Shaped Blepharoplasts
- Cauda Equina in Adults
- Poor Prognosis
- Neurofibromatosis Type II
2 mins
Schwannoma
- Characteristics
- Acoustic Schwannoma
- Cranial Nerve VIII
- Cerebellopontine Angle
- S100 Positive
- Bilateral Schwannoma in Neurofibromatosis Type 2
- Tinnitus
- Cranial Nerve V
- Affects Corneal Reflex
2 mins
Glioblastoma Multiforme
- Most Common Malignant Primary Brain Tumor
- Grade 4 Astrocytoma
- Can Cross Corpus Callosum
- Butterfly Glioma
- Pseudo-palisading Tumor Cells
- Areas of Necrosis and Hemorrhage
- Stain Astrocytes for Glial Fibrillary Acidic Protein (GFAP)
- Grave Prognosis
2 mins
Oligodendroglioma
- Slow growing tumor
- Frontal lobe
- Chicken Wire Pattern
- Fried egg appearance
- Calcifications
32 secs
Cocaine Intoxication Assessment
- Euphoria
- Delusions
- Mydriasis
- Hallucinations
- Agitation
- Hypertension
- Arrhythmias
- Hyperthermia
- Seizures
- Nasal Septum Perforation
2 mins
Benzodiazepines Overview
- Indications
- First Line for Status Epilepticus
- Anesthesia Induction
- Anxiety
- Eclampsia
- Detoxification
- Mechanism of Action
- '-zepam' and '-zolam' Suffix
- Increase Frequency of Cl- Channel Opening
- Side Effects
- Decrease REM Sleep
- CNS Depression
- Dependence
- Antidote
- Flumazenil for Overdose
2 mins
Benzodiazepine Antidote
- Antidote
- Flumazenil
40 secs
Amphetamines Intoxication Assessment
- Euphoria
- Insomnia
- Mydriasis
- Diaphoresis
- Hypertension
- Tachycardia
- Paranoia
- Anxiety
- Anorexia
- Seizures
2 mins
Attention-Deficit Hyperactivity Disorder (ADHD) Interventions
- Drug Therapy
- CNS Stimulants
- Amphetamine
- Methylphenidate
- Bupropion (Wellbutrin)
- Atomoxetine (Strattera)
- Guanfacine (Intuniv)
- Considerations
- Manage Disruptive Behavior
- Provide Simple Instructions
2 mins
Nicotine
- Mechanism of Action
- Nicotine binds to a4b2 subunit of nACh receptor
- This causes influx of Na+ and Ca2+
- Ca2+ Binds to calmodulin
- Dopamine is released
- Also when N binds to nACh receptor: Ach, Epi, 5-HT, GABA, Endorphins and Glutamate are released (lots of good feelings...nicotine is very addictive!)
- Side Effects
- Insomnia
- Nausea
- Parital Agonist for Smoking Tx
- Varenicline
- Cytisine
- Chronic smoking leads to a decrease in MAO so on a regular basis will have increases in NE, ACh, 5-HT etc
1 min
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