neurology notes for clerkship review
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8/10/2019 Neurology notes for clerkship review
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o Lesions found a junction of deep cortical gray and subcortical white matter (MS lesions
are periventricular)
o MRI: increased T2 signal intensity, CSF shows increased opening pressure and
lymphocytes
o Tx with corticosteroids
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Transverse myelitis: acute inflammation of SC that leads to demyelination and spinal cord
dysfunction: AI, viral illness or occur in pt with CT disease
o
Hours to weeks developmento
Localized back pain, arm/leg weakness, sensory disturbances (numbness, tingling
burning) and bladder/bowel dysfunction
o
MRI: spinal cord swelling and T2 signal intensity at affected level
o CSF shows increased protein and lymphocytes
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Brain abscess
o S aureus: penetrating head wound
o
Strep
o Anaerobic: Gram pos cocci, Bacteroides, Fusobacterium, prevotella, actinomyces,
clostridium
o GN aerobic: enteric rods, proteus, pseudomonas, citrobacter diversus, Haemophilus
o
Ring enhancing lesions, WBC count normal or increasedo If organism is unknown: vanc, 3rd generation cepha and Flagyl are given
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