Neurology > Disease = Tx > Flashcards

Disease = Tx Flashcards

(45 cards)

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1
Q

Huntington Dz

A

Nothing - fatal 15-20 yrs

  • Chorea = dopa blocker
  • Cognitivive = AchE inhibitors
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2
Q

Essential Familial Tremor

A

Propranolol

*behavioral mods (caffeine, assistve devices)

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3
Q

Parkinson’s Dz

A
  • Levodopa/Cardidopa
  • DOPA AGS = (Pramiprexole, Bromocriptine
  • ANTICHOL = (Trihexyphenidyl, Benztropine)
  • Amantadine
  • MAOb BLOCKER = (Selegiline, Rasagiline)
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4
Q

Tourette’s Syndrome

A
  • CBT
  • Dopa Blocker = (Haloperidol, Risperidone)
  • Clonazepam
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5
Q

ALS

A

Riluzole

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6
Q

Cerebral Palsy

A

Diazepam/Baclofen

SEIZURES = Anti-epileptics

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7
Q

Restless Leg Syndrome

A
  • 1st DOPA AGS = (Pramiprexole, Ropinirole)
  • Levodopa, Gabapentin
  • benzos/opiates
  • IRON supplements
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8
Q

Guillan Barre

A

*Plasmapheresis
*IVIG
*Prednisone
+/- mechanical ventilation

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9
Q

Myesthenia Gravis

A
  • AchE BLOCKERS = (Pyrostigmine/Mestinon) + PREDNISONE
  • ACUTE = IMMUNOSUPPRESSION Rx (cancer risk), Plasmapheresis, IVIG,
  • THYMECTOMY
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10
Q

Multiple Sclerosis

Acute + Relapse/remitt/progressive

A
  • *Acute**
  • IV corticosteroids
  • IF NO BETTER THEN: Plasmpheresis
  • *RELAPSE/REMIT, PROGRESSIVE DZ**
  • Immunomodulating Rxs
  • B - Interferon
  • Natalizumab - (JC Virus -> PML!!!)
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11
Q

Bell’s Palsy

A
  • Prednisone (w/in 72 hrs onset)
  • Acyclovir
  • artificial tears/patch/pain control
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12
Q

Tension HA

A
  • NSAID/Aspirin/Aceta
  • Combos w/ Caffeine
  • Heat/warm bath
  • TCAs (Amitriptyline)
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13
Q

Migraine HA

A
  • *S/s**
  • *Triptans (BEST)
  • *Ergtamines (5HT1ags)

::EXTRA::
Dopa blockers = Metoclopramide

Long-term
Anti HTN = B-blocker, CCB
Anticonvulsant

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14
Q

Trigeminal Neuralgiia

A

Carbamazepine
gabapentin

Glycerol injection

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15
Q

Cluster HA

A

ACUTE = 100% O2
*Triptan/ergot/opiate

PROPHYLAXIS = Verapamil

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16
Q

Idiopathic Intracranial HTN

A

Acetazolamide

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17
Q

Normal Pressure Hydrocephalic

A

Ventriculoperitoneal shunt

*shunt revisions w/ time

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18
Q

Concussion

A

Rest

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19
Q

Alzheimer’s

Study These Flashcards
A
  • MILD : Donepezil, Galantamine, Rivastigmine = AchE BLOCKER
  • SEVERE : Memantine = NMDA BLOCKER
20
Q

Benign Meningioma

Study These Flashcards
A

NO SURGERY (watch + wait)

21
Q

NML

Study These Flashcards
A
  • Discontinue Rx
  • dopa ags
  • Muscle relax = Dantrolene
22
Q

Serotonin Syndrome

Study These Flashcards
A
  • Discontinue Rx
  • Hyperthermia = Benzo
  • LAST RESORT = Serotonin blockers
23
Q

Ischemic Stroke

Study These Flashcards
A 
*rT-Pa w/in 3-4.5 hrs
3-4.5 hour no elderly
*lower BP
*Dysphagia
*Aspirin, long-term anticoag = DVT/PE/Future stroke
24
Q

Intraparanchymal Hemorrhage

Study These Flashcards
A
  • Hemostasis
  • BP Management
  • Seizure prophylaxis
  • Surgery = (hydrocephalus, compression, herniation)
25
Aneurysmal SubArach Hemorrhage
* early prevention of bleed | * Clipping/Coiling aneurysm
26
Bacterial Meningitis
IV Vanc + Ceftriaxone * elderly? --> +Ampicillin (listeria) * NO steroids in USA
27
Fungal Meningitis
* IV antifungal (monitor Hepatic) * ICP? Shunt * Fluconazole (life-time)
28
Creutzfeldt-Jakob dz
Nothing | *Hugs
29
Subarachnoid Hemorrhage
* Neurosurgery = decompression | * Watch ICP = anti-emetics, Anti-HTN
30
AVM
Excision | Cauterization
31
Aneurysm
Clipping | Coiling (only if neck)
32
Dystonia
* Chemodenervation | * Rx = Dopaminergic, Dopa depleting Antichol
33
Tardive Dstkinesia
STOP Rx
34
Peripheral Sensory Neuropathy PSN
* Gabapentin = (ANTI-CONVULSANT) * TCA/SNRI = (ADD) * Tramadol = (WEAK MU OPIOID) * Lidocaine patches * alpha lipoic acid * healthy lifestyle
35
Carpal Tunnel Syndrome
Night splint NSAID Surgery PT
36
Herpes Zoster Tx w/in (time)
72 hours
37
Post-Herpetic Neuralgia
*Gabapentin ANTICONVULSANTS *ADD
38
PT Goals
Recover vs. Compensation | Prevention
39
Vascular Dementia
* Memantine = (AchE Blocker) | * PT/OT
40
Frontotemporal dementia
* SSRI - (decrease disinhibition) | * Olanzapine - ATYTPICAL ANTI-PSYC
41
Epilepsy
* Phenytoin, Vaproate, Carbamazepine - ANTI-SEIZURE * Epilepsy Surgery * Neuromodulation = Vagal N stimulation, Responsive Neurostim * Diet = Keto, atkins
42
Most Seizures
Phenytoin Valproate Carbamazepine
43
Generalized, Non-Convulsive Seizures
Ethosuximide | Valproate
44
Status Epilepticus
* airway * Lorazepam * iF NO : Phenytoin * IF NO: Phenobarbetal + general anesth * if need = glucose * if alcoholic = thiamine + magn
45
Syncope
* Underlying cause * Glucose + Hydration * Rx Dose decrease
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