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prominent primitive/frontal reflexes
Frontotemporal dementia
-
"knife edge" gyri
Picks disease
-
repeated falls
Lewy body dementia
-
>3% internal nuclei in SkM
activaiton of satellite cells
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onion bulbs
sequential episodes of de- than re-myleination leads to concentric layers of Schwann cells around the axon
-
myelin ovoids
seen in Wallerian degeneration after traumatic transection of distal axon when destroyed myelin is phagocytosed my m0 and schwann cells
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ring fibers
- myotonic MD
- muscle fibers with sarcomere perp. to the axis
-
internalization of nuclei
a feature of SkM seen in myotonic dystrophy
-
disorder of axonal transport
peripheral neuropathy
-
OCD
low seratonin function in the right caudate nucleus
-
blanching rash that feels like sandpaper
enteroviral meningitis (picornavirus family)
-
black discoloration of palate and nose
necrosis due to rhinocerebral mucormycosis
-
pain upon moving eyes worsened by sitting, standing or coughing
viral meningitis
-
satellitosis
proliferation of nerineuronal oligodendrocytes around degenerating neurons and normal neurons with aging
-
DAI (diffuse axonal injury)
- caused by shearing stress on the brain, with no direct damage
- **corpus callosum is particularly suceptible**
- **coma after trauma with poor prognosis**
-
congestion of ciliary blood vessels near cornea
Dx sign of uveitis
-
intermittent blurring of vision with halos
due to corneal edema, a sign of AACG
-
transient and painless monocular blindness
- "amaurosis fugax"
- caused by central retinol artery occulsion
- major source of embolus is plaque of carotid or aorta
-
painless monocular visual loss on awakening
- anterior ishcemic optic neuropathy
- decreased b/f in posterior ciliary artery
-
arcuate scotomas
scimtar shape, indicative of glaucoma
-
whipple triad
- sign of insulinoma
- episodic hypoglycemia
- CNS dysfunction
- dramatic reversal of CNS dysfunction with glc admin
-
MEN 1 syndrome
PT, pancreatic and pituitary hormone secreting tumors
-
vesicular lesions on eyelid with periocular or cunjunctival vesicles
HSV keratits
-
expanding chorioretinal lesions
fungal keratitis (candida, or fusarium)
-
congestion of ciliary b/v near the cornea
dx of uveitis=> sever photophobia, blurry vision an IO pain
-
haloes around light, mid dilated no reactive pupil,pain, coreal cloudiness
AACG- medical emergency
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