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Z Neuro
Neural Crest Derivatives
CA MOTEL ASS
Craniofacial Structures (skull)
Arachnoid and Pia Mater
Melanocytes
Odontoblasts
Tracheal Cartilage
Enterochromaffin (Adrenal Medulla)
Laryngeal Cartilage
All Ganglia
Schwann Cells
Spiral Septum (Aorticopulmonary Septum)
2 mins
CN VII
Facial Nerve
Lacrimation
Salivation
Sensory
Taste from Anterior 2/3 of Tongue
Motor
Facial Movement
Stapedius Muscle
Eyelid Closing
1 min
CN IX
Glossopharyngeal Nerve
Sensory
Taste from Posterior 1/3 of Tongue
Monitoring Carotid Body and Sinus
Motor
Stylopharyngeus
Swallowing
Salivation
1 min
CN X
Vagus Nerve
Sensory
Aortic Arch Chemoreceptors and Baroreceptors
Taste from Epiglottic Region
Motor
Swallowing
Palate Elevation
Talking
Coughing
Midline Uvula
1 min
Muscles of Mastication
Temporalis
Masseter
Medial Pterygoid
Lateral Pterygoid
Innervation
Mandibular Branch (V3) of Trigeminal Nerve
Embryology
1st Branchial Arch
1 min
Dermatomes - Cervical
C2 - Posterior Cap Distribution
C3 - High Turtleneck
C4 - Low Collar Shirt
C5 - Anterolateral Shoulder
C6 - Thumb
C7 - Middle Finger
C8 - Pinky Finger
1 min
Dermatomes - Thoracic
Characteristics
T1 - Medial Arm
T4 - Nipple
T7 - Xiphoid
T10 - Belly Button
T12 - Pubis
58 secs
Dermatomes - Lumbosacral
L2 - Medial Thigh
L3 - Medial Knee
L4 - Kneecap, Medial Ankle, and Big Toe
L5 - Dorsum of Foot
S1 - Lateral Foot, Posteriolateral Thigh
S 2, 3, 4, 5 - Perianal and Genitals
2 mins
Closed-Angle Glaucoma
Primary
Lens causes pupillary obstruction
Aqueous humor builds behind iris
Iris bends forward, obstructing trabecular mesh
Secondary
Hypoxia Causes Neovascular Proliferation
Contraction and obstruction of trabecular mesh
Chronic disease (Crone)
Asymptomatic
Acute Disease
Eye pain and blindness
Rock-hard eye
Headache
Emergency
Epinephrine contraindicated
2 mins
Open-Angle Glaucoma
Humor Has Access to Trabecular Meshwork
Presentation
Painless
African American
Elderly
Positive Family History
Primary Open-Angle Glaucoma
Most Common Form of Glaucoma
Unknown Mechanism
Secondary Open-Angle Glaucoma
Blocked Trabecular Meshwork (With Open-Angle)
WBCs
Red Blood Cells (RBC)
Retinal Products
2 mins
Detached Retina
Assessment
Flashes of Light
Floaters
Curtain Like Shadow
Interventions
Eye Patch
Bed Rest
Surgical Emergency
Considerations
No Vigorous Activity
2 mins
Cataract
Mechanism
Age-related
Assessment
No Pain
Cloudy Opaque Lens
Decreased Visual Acuity
Occurs Gradually
Treatment
Surgery
1 min
Age-Related Macular Degeneration (AMD)
Mechanism
Dry (nonexudative)
Wet (exudative)
Signs and Symptoms
Scotomas
Blurred, Darkened Vision
Loss of Central Vision
Distortion of Vision
Considerations
Drug Therapy
Surgery
Low-vision Assistive Devices
2 mins
Amyotrophic Lateral Sclerosis (ALS)
Assessment
Progressive Muscle Weakness
Systemic Muscle Wasting
Fasciculations
Spasticity
Fatigue
Considerations
Riluzole (Rilutek)
Stretching
Little to No Cognitive Decline
Respiratory Support
Palliative Care
2 mins
Friedreich's Ataxia
Trinucleotide Repeat
GAA Repeat
Frataxin
Mitochondrial Dysfunction
Autosomal Recessive
Hammertoes
High Arches
Kyphoscoliosis
Lateral Corticospinal Tract
Posterior Column
Spinocerebellar Tract
Type I Diabetes Mellitus
Hypertrophic Cardiomyopathy
1 min
Medial Medullary Syndrome (ASA)
Lick your wounds (CN 12 nuclei affected)
Contralateral paralysis upper and lower limb
Contralateral loss of proprioception
ASA in spinal cord
UMN deficit below lesion
LMN deficit at lesion
loss of pain and temp below
Lateral Medullary Syndrome (PICA / Wallenberg)
Dysphagia
Hoarseness
nucleus ambiguus
Loss of pain and temp from IPSI face and CONTRA body
ipsilateral horner's syndrome
contralateral uvula deviation
Vertigo, nystagmus, n/v
Ipsilateral cerebellar signs
Weber Syndrome
Posterior cerebral artery (PCA)
Oculomotor nerve palsy
Cerebral peduncle lesion
Corticospinal tract lesion
Corticobulbar tract
Metachromatic Leukodystrophy
Pathophysiology
Autosomal Recessive
Arylsulfatase A Deficiency
Increased Cerebroside Sulfate
Signs and Symptoms
Demyelination
Ataxia
Dementia
1 min
Krabbe Disease
Pathophysiology
Autosomal Recessive
Galactocerebrosidase Deficiency
Increased Psychosine
Signs and Symptoms
Developmental Delay
Peripheral Neuropathy
Optic Atrophy
Diagnosis
Globoid Cells
1 min
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