Bruce Shared "Neuro Exam 5" - 39 Picmonics
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Neuro Exam 5
Osteomyelitis
- Cause/Mechanism
- Bone Infection
- Assessment
- Warmth
- Edema
- Constant Bone Pain
- Fever
- Interventions
- IV Antibiotics
- Implanted Beads
- Hyperbaric Oxygen
- Surgical Removal of Ischemic Tissue
- Considerations
- Elevated ESR
3 mins
Carpal Tunnel Syndrome
- Median Nerve Entrapment
- Compression at Carpal Tunnel
- Numbness, Tingling and Pain in Hand
- Diagnosis
- Phalen's Maneuver
- Tinel's Sign
- Treatment
- Splints
- Surgery
- Steroids
2 mins
Salter-Harris Fracture Classification
- SMACK
- Slipped Across Physis (Type 1)
- Metaphysis and Physis (Type 2)
- Articular-Epiphyseal (Type 3)
- Complete Metaphysis and Epiphysis (Type 4)
- Krushed Physis (Type 5)
2 mins
Compartment Syndrome Assessment
- Mechanism
- Trauma
- Increased Pressure
- Compressed Nerves and Blood Vessels
- Assessment
- 1 or more of 6 P's
- Ankle-Brachial Index (ABI)
- Considerations
- May take Days to develop
- Early Detection
- Ischemia
- Damage often Irreversible
2 mins
Types of Fractures
- Nondisplaced
- Displaced
- Incomplete
- Complete
- Closed
- Open
- Direction of Fracture Line
2 mins
Legg-Calve-Perthes Disease
- Pathophysiology
- Idiopathic Avascular Necrosis of Femoral Head
- Boys 5-7 Years of Age
- Symptoms < 18 Months
- Signs & Symptoms
- Painless Limp
- Limited Range of Motion
- Intermittent Anterior Thigh Pain
- Insidious Pain in Knee
- Atrophy of Upper Thigh
- Diagnosis
- AP and Frog Leg Lateral X-ray
- Compression and Deformity of Femoral Head
- Treatment
- Bed Rest
- NSAIDs
- Containment with Brace or Cast
- Surgery
4 mins
Slipped Capital Femoral Epiphysis (SCFE)
- Pathophysiology
- Separation of Femoral Epiphysis from Femoral Neck
- Through Growth Plate (Physeal Plate)
- Obesity
- Male Adolescents
- African American
- Growth and Sex Hormone Imbalances
- Signs & Symptoms
- Thigh or Knee Pain
- Inability to Bear Weight
- Decreased Internal Rotation of Hip
- Obligate External Rotation of Hip with Flexion
- Diagnosis
- Frog Leg Lateral X-ray
- Treatment
- Surgical Pinning
- Complications
- Avascular Necrosis of Femoral Head
3 mins
Herniated Disc (Nucleus Pulposus)
- Cause/Mechanism
- Spine Trauma
- Natural Degeneration
- Spinal Stenosis
- Assessment
- Pain
- Weakness
- Urinary and Fecal Incontinence
- Interventions
- Brace
- Medications
- Outpatient Procedures
- Surgery
2 mins
Cauda Equina Syndrome
- Acute Loss of Lumbar Plexus Function
- Surgical Emergency
- Saddle Anesthesia
- Causes
- Inflammatory Disorders
- Spinal Stenosis
- Trauma
- Lesions
- Symptoms
- Urinary and Fecal Incontinence
- Sciatica
- Diagnosis
- Magnetic Resonance Imaging (MRI)
- Clinical
1 min
Local Anesthetic Overview
- Indications
- Minor Procedures
- Epidurals
- Mechanism of Action
- Blocks Na+ Channels
- State Dependent
- Combined with Vasoconstrictors
- Infected Tissue Requires Higher Dose
- Drugs
- Esters
- Amides
- Side Effects
- Arrhythmias
- Cardiotoxicity
1 min
IV Anesthetics
- Barbiturates
- Benzodiazepines
- Respiratory Depression
- Hypotension
- Ketamine
- NMDA Receptor Antagonist
- Hallucinations
- Opioids
- Propofol
- Potentiates GABA-A
2 mins
Benzodiazepines Overview
- Indications
- First Line for Status Epilepticus
- Anesthesia Induction
- Anxiety
- Eclampsia
- Detoxification
- Mechanism of Action
- '-zepam' and '-zolam" Suffix
- Increase Frequency of Cl- Channel Opening
- Side Effects
- Decrease REM Sleep
- CNS Depression
- Dependence
- Antidote
- Flumazenil for Overdose
2 mins
Inhaled Anesthetics
- Mechanism of Action
- Unknown Mechanism
- Inhaled Anesthetic Drugs
- HEISMN Drug Name Acronym
- Side Effects
- Respiratory Depression
- Myocardial Depression
- Lower Metabolic Demand, Increased Cerebral Blood Flow
- Hepatotoxicity (Halothane)
- Nephrotoxicity (Methoxyflurane)
- Seizure (Enflurane)
- Malignant Hyperthermia
- Expansion of Trapped Gas
2 mins
Anterior Pituitary
- Characteristics
- Hypothalamic Control
- FLAT PeG Mnemonic
- Tropic Hormones
- Follicle-Stimulating Hormone (FSH)
- Lutenizing Hormone (LH)
- Adrenocorticotropic Hormone (ACTH)
- Thyroid-Stimulating Hormone (TSH)
- Direct Hormones
- Prolactin (PRL)
- Growth Hormone (GH)
2 mins
Opioids Overview
- Indications
- Pain
- Weaning
- Cough
- Diarrhea
- Mechanism of Action
- Agonists at Mu (μ), Kappa (Κ), and Delta (δ) Receptors
- Decrease Synaptic Transmission
- Side Effects
- Respiratory Depression
- Addiction
- Miosis
- Constipation
2 mins
Morphine
- Mechanism
- Opioid Receptor Agonist
- Indications
- Pain
- Myocardial Infarction
- Side Effects
- Nausea and Vomiting
- CNS Depression
- Biliary Colic
- Constipation
- Increased Intracranial Pressure (ICP)
- Pupillary Constriction
- Hypotension
2 mins
Opioid Antidote
- Antidote
- Naloxone
29 secs
Codeine
- Mechanism
- Opioid Receptor Agonist
- Indications
- Mild to Moderate Pain
- Cough Suppressant
- Side Effects
- Sedation
- Constipation
- Miosis
- Considerations
- Close Monitoring When Breast Feeding
- Often Combined with Non-Opioids
2 mins
Meperidine (Demerol)
- Mechanism
- Opioid Receptor Agonist
- Indications
- Moderate to Severe Pain
- Post Anesthesia Shivering
- Side Effects
- Tremors
- Constipation
- CNS Depression
- Sedation
- Considerations
- Short Term Administration
- Increased Risk Serotonin Syndrome
- Does NOT cause Miosis
- Renal Failure Increases Toxicity Risk
2 mins
Tramadol
- Indications
- Chronic Pain
- Mechanism of Action
- Weak Opioid
- Inhibit Serotonin and NE reuptake
- Side Effect
- Increased Risk of Seizure
48 secs
