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Neurology
Pathology
70
Pathology
Graduate
01/17/2014

Additional Pathology Flashcards

 


 

Cards

Term
multiple scerosis
- symptoms
- lab findings
- treatment
Definition
- optic neuritis, MLF syndrome, hemiparesis, hemisensory symptoms, bladder/bowel incontinence
- inc IgG in CAS, oligoclonal bands, MRI, periventricular plaques with preservation of axons
- beta-IFN, immunosuppression, natalizumab
Term
guillain-barre
- symptoms
- causes
- lab findings
Definition
- ascending mm weakness, facial paralysis, autonomic function affected
- campylopbacter jejuni, herpesvirus, inoculations and stress
- inc CSF protein with normal cell count (albuminocytologic dissociation)
Term
PML
Definition
destruction of oligodendrcytes with JC virus in AIDS pts
Term
acute disseminated encephalomyelitis
Definition
multifocal perivenular inflammation and demyelination after infection (chicken pox, measles) or certain vaccinations
Term
metachromatic leukodystrophy
Definition
AR lysosomal storage disease, most commonly arylsulfatase A deficiency
Term
Charcot-Marie-Tooth disease
Definition
progressive hereditary nerve disorders related to the defective production of proteins involved in structure and function of peripheral nerves or myelin sheath
Term
peripheral vs central vertigo
Definition
peripheral = BPPV, emnieres; delayed horizontal nystagmus
central = brain stem or cerebellar lesion, immediate nystagmus in any direction
Term
early onset alzheimer's genes
Definition
APP (21), presenilin-1 (14), presenilin-2 (1)
Term
late onset alzheimers gene
Definition
ApoE4 (19)
Term
gene that is protective vs alzheimers
Definition
ApoE2
Term
senile plaques
Definition
extracellular Beta-amyloid; AB-amyloid synthesized by cleaving amyloid precursor proteins
Term
neurofibrillary tangles
Definition
intracellular, abnormally phsophorylated tau protein = insoluble cytoskeletal elements; tangles correlate with degree of dementia
Term
pick's disease
Definition
dementia, aphasia, parkinsonian aspects; change in personality; frontotemporal
Term
most common cause of dementia
Definition
alzheimers
Term
associated with down's sndrome
Definition
alzheimers
Term
pick bodies
Definition
intracellular, aggregated tau protein
Term
lewy body dementia
Definition
parkinsonism with dementia and hallucination
Term
alpha-synuclein
Definition
lewy body
Term
creutzfeldt jakob
Definition
rapidly progresive (wk-mo) dementia with myoclonus
Term
2nd most common dementia in elederly
Definition
multiinfarct dementia
Term
partial vs generalized seizure
Definition
partial = 1 area of brain
generalized = diffuse
Term
simple vs complex partial
Definition
simple = consciousness intact
complex = unconscious
Term
types of generalized seizures
Definition
absence, myoclonic, tonic-clonic, tonic, atonic
Term
absence seizures
Definition
3Hs; petit mal, no postnatal confusion
Term
causes of seizures in children
Definition
genetic, infection (febrile), trauma, congenital, metabolic
Term
causes of seizures in adults
Definition
tumors, trauma, stroke, infection
Term
causes of seizure in elderly
Definition
stroke, tumor, trauma, metabolic, infection
Term
features of a migraine
Definition
unilateral; photophobia and phonophobia, 4-72 hrs long
Term
"aura" of migraines
Definition
symptoms before HA such as visual, sensory, speech disturbances
Term
cause of migraine
Definition
irritation of CN V, substance P, CGRP, vasoactive peptides
Term
tx of migraines
Definition
propranalol, NSAIDS, sumatriptan
Term
features of tension HA
Definition
bilateral >30min of steady pain, no aura
Term
cluster HA features
Definition
unilateral; periorbital pain with ipsi lacrimation, rhinorrhea, Horner's (no anhidrosis)
Term
tx of cluster HA
Definition
inhaled oxygen, sumatriptan
Term
sturge weber syndrome
Definition
port-wine stains in V1 (ophthalmic); ipsi leptomeningeal angiomas, pheochromocytoma
Term
complications of sturge-weber
Definition
glaucoma, seizures, hemiparesis and MR
Term
features of tuberous sclerosis
Definition
hamartomas in CNA and skin, ademona sebaceous (angiofibroma), mitral regurg, ash-leaf spots, cardiac rhabdomyoma, autosomal dominant, MR, renal angiomyolipoma, seizures
Term
features of NF1
Definition
cafe-au lait, lisch nodules, pheochromocytoma; chromosome 17
Term
features of VHL
Definition
cavernous hemantiomas in skin, BL renal cell CA, hemangioblastoma in retina, brain stem cerebellum, pheochromoytoma
Term
chromosome:
- NF1
- VHL
Definition
- 17
- 3
Term
most common causes of adult brain tumor
Definition
metastasis, glioblastoma, meningioma, schwannoma
Term
butterfly lesion
Definition
glioblastoma multiforme
Term
his to of glioblastoma multiforme
Definition
pseudopalisading pleomorphic tumor cells- border central areas of necrosis and hemorrhage
Term
arises from arachnoid cells
Definition
meningioma
Term
brain tumor with psammoma bodies
Definition
meningioma
Term
location of meningioma
Definition
convexities of hemispheres and parasagittal regions
Term
CN VIII location
Definition
acoustic schwannoma
Term
location of schwannoma
Definition
cerebellopontine angle
Term
S-100 positive
Definition
schwannoma
Term
fried egg cells
Definition
oligodendroglioma
Term
chicken wire capillary patten
Definition
oligodendroglioma
Term
location of adult brain tumors vs child brain tumors
Definition
adult = supratentorial
child = infratentorial
Term
bitemporal hemianopia
Definition
pituitary tumor, craniopharyngeoma
Term
most common brain ca in children
Definition
pilocytic, medulloblastoma, ependymoma, hemangioblastoma, craniopharyngioma
Term
GFAP positive
Definition
pilocytic astrocytoma
Term
rosenthal fibers
Definition
pilocytic astrocytoma
Term
can compress the 4th ventricle -> hydrocephalus
Definition
medulloblastoma, ependymoma
Term
Homer-wright pseudorosette patterns
Definition
medulloblastoma
Term
small blue cells
Definition
medulloblastoma
Term
a form of primitive neuroectodermal tumor
Definition
medulloblastoma
Term
perivascular pseudorosettes
Definition
ependymoma
Term
rod-shaped blepharoplasts
Definition
ependymoma
Term
can produce EPO
Definition
hemangioblastoma
Term
derived from remnants of Rathke's pouch
Definition
craniopharyngioma
Term
most common childhood supratentorial tumor
Definition
craniopharyngioma
Term
types of herniations
Definition
cingulate under falx cerebri; downward transtentorial herniation, uncal herniation; cerebellar tonsillar herniation into the foramen magnum
Term
uncal hernia: ipsilateral dilated pupil and ptosis
Definition
stretching of CN III
Term
uncal hernia: contra homo hemianopia
Definition
compression of ipsilateral posterior cerebral artery
Term
uncal hernia: ipsilateral paresis
Definition
compression of contralateral crus cerebra (Kernohan's notch)
Term
uncal hernia: dure-hemorrhages- paramedian artery rupture
Definition
caudal displacement of brain stem
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