🌹patient with sinusitis did scope that injures the nerve that caused loss of sensation
of((( lower eyelid and superior lip )))what is the nerve injured ? Infraorbital
...
🌹 Old pt with hx of recent travel , came with difficulty getting aroused/awaken, he
report multiple falls, examination shows no head wounds and skull intact , most likely
diagnosis:? post concussion syndrome
...
🌹- 50 yo pt with 3wk H of fatigue and tiredness and tonge and ((lower limb
fasciculation))) . Dx? C.motor and neuro disorder✅
...
🌹 A woman presents with left sided facial twitching and spasticity throughout her body; she
also has unilateral tongue fasciculation. diagnosis is A. myasthenia gravis .b B. Myasthenic
syndrome. C. Mononeuropathy. D.Motor neuron disease✅🌹
......
🌻Spasticity > upper motor neuron
🌻Fasisculation> lower motor neuron
🌻both features upper and lower > amyotrophic lateral sclerosis
.......
🍒Case of stroke came in 4 hours t next step ? B-ct scan ✅✅
.......
🍒Female patient presented with lethargy Ct scan shows area of hypodensity in the
frontotemporal lobe =. herpes encephalitis ✅
وهربfrontal = هربس = شاف اسد وضع يده على
....
🍒 Pt has change in behaviors what’s the Dx, = Frontotemporal dementia
......
🌹 patient c/o 4 months of hearing loss now come with 7 nerve palsy rumsy hunt
....
🌹pt with paraplegia and high ca = immobilization
.....
🌹Management high ca =normal saline
.....
🌹pt with transient visual loss=TIA
....
🍓Patient with neck pain radiate to the (((left shoulder))) and numbness of the arm . Long
thoracic nerve✅
......
🌹 patient develops hyperthermia, generalized muscle rigidity, altered mental status,
tachycardia, hypertension. labs show elevated creatine kinase. He started metoclopramide two
weeks ago to treat diabetic gastroparesis. Which of the following drugs can also cause these
symptoms? Fluphenazine🌹
..... . . = وترفع نبضات القلب والضغطalternated mental = فلوس = الفلوس تلعب باالعصابfluphen = ربط
.....
🍓pt with facial asymmetry , moth deviation, absence of forehead wrinkles , what’s the nerve
affected: A. ll B. V C. Vll✅ D. X
II كانه يشير للجبهة = فيها خطوط تجاعيدV حرف
....
🌹 Double vision, when he look straight the lt eye deviated to nose side, Lt. eye cannot look
laterally?
Lt. 6 CN palsy✅
.....
🌹Case of dm pt with sx of 3rd nerve palsy (ptosis, double vision when looking laterally) Dx?
Dm 3rd nerve neuropathy
3 سارتNeuro كلمة+ حرفينDM = ربط
.....
🌹Pt with 6th nerve palsy can't abduct his left eye with diplopoa : Left 6th nerve plasy
......
🌹) _ ( Left eye unable to abduct) , when looking forward there’s squint towards the nose
which nerve affected: - left 6th
.....
🌹right eye. Pupil reflex normal in both eyes and all other cranial nerves are
normal diagnosis? A. 3rd cranial nerve palsy ✅B. cavernous sinus thrombosis
......
🌹Patient has sudden onset unilateral facial paralysis. Which medication is proven to reduce
duration of symptoms? -Steroids ✅
....
sudden onset unilateral facial paralysis = ((Bell palsy)) = treat by = steroid .
تعالوا نربط الدواء بالمرض = نتخيل واحد وجهه نصه مشلول = الزم يستر وجهه ويغطيها = ستيرويد = ستر الوجه
🌹Lewy bodies dementia: hallucinations with dementia and sometime parkinsonism.🌹
.....
🌹 Parkinson's + early dementia + fluctuating cognition + visual hallucinations?
A. lewy body dementia
...
🍒 in CTmultiple atrophy? A. vascular dementia B. alzheimer✅
.
🍒70 year male HTN with progressive decline in cognitive state Mri shows Periventricular
white matter Hyperintensities what is the Dx:
A. -vascular dementia✅
.
🍓elderly k/c of HTN with gradual loss of cognitive function, especially executive function on
imaging there is *diffuse* periventricular white matter hyperintensity what us the cause: B.
Vascular✅ C. Alzheimer.
..
🌹old male patient came with his brother, brother complaining of change in personality,mild
forgetful, MRI show cortical atrophy : Answer:Alzheimer disease ✅
....
🌹 Alzheimer = atrophy of hippocampus and temporal lobes.
.....
🍒elderly hypertensive and has cognitive changing , MRI brain showing: periventricular
hyperintensity : vascular cognitive impairment
......
🌹Elderly with ((unsteady gait,))) later he developed forgetfulness
C.Normal tension hydrocephalus✅
D. Cruetzfelt jakob disease
......
🌹Old M, drowsy and forgetful, Hx of femoral embolization 12 hrs ago. Ddx?
A- Alzheimer's, B- Lewy body dementia,
C- multiple infarct dementia✅
منطقي الجواب الن جات لها جلطة بالقدم متحركة والنها متحركة اكيد راحت للدماغ وعملت فيه جلطات صغيرة وادت الى
موت اجزاء بالمخ فسار
....
🍒 in CT ventricular enlargement? normal pressure hydrocephalus
......
🌹Poorly controlled diabetes with orthostatic hypotension (no change in HR) = Autonomic
neuropathy 🌹
....
pt have difficulty feeding can not put fork to his mouth and have traffic accident and 🍓
where is lesion = cerebellum
مافيه توازن مايقدر يضع الشوكة بفمه
Headache
