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Topic: TB med causes paresthesia feet burns

2. Lithium high 3.5+ NEED DIALYSIS

3. alcoholic drinks Ethylene Glycol

[sx: confusion, sweet odor]

4. C6 radiculopathy -pain neck/shoulder radiats to lateral arm to thumb and index finger;
decr biceps reflex, decr touch at thumb & index finger
C6 = thumb

5. Topic: Alzheimers - DOC med action = Acetylcholinesterase inhibitor

6. >70, DTR absent in ankles. everything else normal - next = no additional management
needed

7. CHADS VAS > 2 = give WARFARIN (ppx future episodes of afib-stroke)

8. similar presentation (Guillain-Barre vs Multiple Sclerosis)

Recent ascending symmetric weakness.
IF hx GI or URI = think GBS
If ss: Hyperreflexia, slow eye adduction during saccadic movement of eyes to right. =
Multiple Sclerosis

9. similar presentation [ALS vs Syringomylia]

arms: weak/numb/tingling; msk wasting /atrophy arms; loss DTR; sensation loss arms
legs: DTR strong; babinsk present +

IF: MOTOR symptoms only = ALS

IF: here has SENSATION CST, SST = Syringomyelia

10. Lumbar spine stenosis vs Spinal cord compression "aching 15mins after walking, resolves
when stop. occasion occurs when stands up AFTER SLEEPING all night. . radiates pain
from butt to feet. has cervial arthritis neck. babinski absent BL, DTR decr legs. age 72yo.
Diagnosis?
Q = Lumbar Spinal Stenosis

Compression = trauma or pain at night too.

11. Epidural Abscess of spine

Received INTRAVENOUS antibotics at hospital for something else 'leg rash'. Later cannot
URINATE (neuro). Unable to life leg (neruo loss), sensation loss below C7 - had neck pain
yesterday.
Diagnosis: Epidural Abscess at spine
12. Motor neuro degeneration - patho (sees NORMAL MRI)
was healthy - now progressive weakness arms/legs. 6 months ago no problems, msk 4/5
strength all limbs. currently FASCICULATIONS hands & Right leg & Pseudobulbar palsy.
MRI nml.

13. Uncal Herniation. - (mva, increasingly unresponsive over 45mins. L eye dialted, L eyelid
ptosis. Starts to HYPERVENTILATE)

14. Creutzfeld -Jacob (14-3-3 protein increase in CSF) - (6wk progressive cognitive changes;
irregular jerks upper/lower limbs. MMSE <25/30. MRI vague areas of abnml T2 signal in
basal ganglia. CSF will show increased 14-3-3 protein

15. Chiari Type 2 malformation - [infant poor feeding/DROWSINESS. Bulgin anterior

fontanel, Hyperpigmented macules with hair growth on upper lumbar spine - present
at birth). ***Qdx comp

16. vision problems "off balance"See homonymous hemianopsia. only reads words on
right side of page. CT scan head likely shows: RIGHT POSTERIOR cerebral arteries
infarct**

(vs Cerebral aa - Right middle, Right anterior, Left anterior/middle/posterior)

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18. [Peripheral nerve axon prob vs spinal cord] - progressive weak legs 5 mos. trouble
problem ARISING from chair & climbing stairs. Has persistent cough/ wt loss/smoker
PE: weak hip flexion & knee extension. Loss rellexes. DTR loss. sensory ok. ESR 95; CK 25.
CXR right upper lob mass
Location of abnormality = Peripheral nerve axon
(it's Polymyositis = Peripheral nerve AXON)

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