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BLOCK 3 SDL CM Neuro
VCOM BLock 3
55
Medical
Graduate
02/08/2012

Additional Medical Flashcards

 


 

Cards

Term
cognition
Definition
mental processing of info that allows us to know our environment and structure responses to it
Term
memory
Definition
ability to store, retain and recall info and experiences
Term
language
Definition
capacity for acquiring and using complex systems of communications
Term
gnosia
Definition
ability to perceive and recognize familiar objects
Term
praxis
Definition
ability to perform motor behavior
Term
executive function
Definition
ability to plan, organize, sequence or abstract info
Term
perception
Definition
process of attaining awareness or understanding of sensory info
Term
attention
Definition
selectively concentrating on one aspect of the environment while ignoring other things
Term
emotion
Definition
mental state involving physiological arousal, expressive behavior and conscious experience
Term
calculation
Definition
deliberate process for transforming one or more inputs into one or more results
Term
delirium
Definition
disturbance of consciousness and change in cognition that develops over a short period of time
Term
dementia
Definition
multiple cognitive deficits that includes impairment in memory
Term
cortical dementia
Definition
changes in memory, language, perception, praxis. temporal, parietal,and frontal lobes affected. includes AD, lewy body disease, vascular dementia
Term
subcortical dementia
Definition
behavioral and emotional problems with slowing motor function, thalamus, striatum, midbrain and striatofrontal projections involved. includes parkinsons, progressive supranuclear palsy, normal pressure hydrocephalus, huntingtons, creutzfeld-jakob and chronic meningitis
Term
neurodegenerative dementia
Definition
CNS degeneration. includes AD, frontotemporal dementia, and lewy body disease
Term
amnestic disorder
Definition
memory impairment in the absence of other significant cognitive impairments
Term
short term memory
Definition
memories held for less than one minute and are available for manipulation of info
Term
long term memory
Definition
memories held for longer than one minute
Term
declarative memory
Definition
factual and episodic knowledge
Term
non declarative memory
Definition
does not involve conscious retrieval. procedural knowledge
Term
aphasia
Definition
loss of impairment of language
Term
broca's
Definition
disruption in fluency
Term
wernicke's
Definition
disruption in comprehension
Term
conduction
Definition
inability to repeat a spoken phrase
Term
global
Definition
all aspects of language affected
Term
agnosia
Definition
inability to recognize a specific sensory stimuli despite preserved sensory function, most resposible lesions in occipitotemporal region
Term
anosognosia
Definition
localized to right parietal lobe
Term
apraxia
Definition
inability to perform learned motor tasts despite sufficient memory function to understand the command. lesion in dominant inferior parietal lobe
Term
amnesia
Definition
loss of impairment of memory and the mechanisms for recall
Term
anterograde amnesia
Definition
can't form new memories
Term
retrograde amnesia
Definition
can't remember events before trauma
Term
extinction
Definition
mild form of right parietal lobe lesions where patient cannot attend to stimuli on contralateral side with bilateral stimuli
Term
neglect syndrome
Definition
right parietal lesion, patient doesnt attend to one half of body of visual field
Term
mental retardation
Definition
distinguished from dementia due to cognitive impairment before age 18
Term
treatable dementia
Definition
infectios, metabolic disease, nutritional deficiency, or psych issues
Term
dementia work up
Definition
serum electrolytes, urinalysis, CBC with differential, folate and B12, liver, renal, thyroid, serology for syphilis and other chronic infections, spinal tap, electroencephalogram, neuroimaging (MRI and CT), neuropsychological testing
Term
mini mental state exam
Definition
emphasizes memory and language function
Term
clock drawing test
Definition
evaluates visuospatial processing
Term
show actions
Definition
evaluates praxis
Term
name as many animals as you can in 60 sec
Definition
evaluates verbal fluency
Term
alzheimers
Definition
progressive disease that destroys neurons, most common form of dementia, gradual memory loss and difficulties learning, lack of reasoning and judgment, decline in ADLs, changes in behavior. c1,14,21,19 and ApoE gene on c19. amyloid plaques between axons and tau protein tangles. decrease in ACh. tx: tacrine, donepezil, rivastigmine, galantimine, memantine
Term
diffuse lewy body disease
Definition
may overlap with AD and parkinsons, sensitivity to antipsychotic meds, visual hallucinations and parkinsons symptoms, histologically in brainstem and limbic system
Term
vascular dementia
Definition
brain damage secondary to strokes or micro infarcts, focal deficits, hx of hypertension
Term
frontotemporal dementia
Definition
picks disease, frontal and temporal lobe atrophy, inappropriate social behavior, 50yo onset, familial hx of dementia with Tau protein
Term
parinsons disease
Definition
impacting executive function more than language or spatial processing, lewy bodies in brainstem, bradykinesia and depression
Term
normal pressure hydrocephalus
Definition
rarely causes dementia, obstruction of CSF flow, triad of dementia, gait disturbance, urinary incontinence. tx shunt
Term
creutzfeld jakob disease
Definition
prion proteins, myoclonus with abnormal EEG, sponiform enccephalopathy, rapidly progressive, 1 yr prognosis
Term
Korsakoff's syndrome
Definition
end product of untreated wernicke's encephalopathy caused by thiamine deficiency, chronic alcoholism
Term
normal aging
Definition
loss of memory for names and dates, verbal fluency stays same, vocabulary increases
Term
transient global amnesia
Definition
dramatic memory disturbance that affects people over 50yo, usually one episode, both antero and retrograde amnesia for several hours, caused by vascular insufficiency to midbrain structures like hippocampus
Term
psychogenic amnesia
Definition
inconsistent loss of remote memory with indifference to their deficits. "who am i?"
Term
psuedodementia
Definition
dementia syndrome of depression, treatable with antidepressants
Term
huntingtons
Definition
CAG trinucleotide repeats, 30-50yo onset, chorea and atrophy of cerebral cortex and caudate
Term
subdural hematoma
Definition
reversible, mostly caused by head trauma
Term
delirium
Definition
rapid onset disorganized mental processes, shifted attention and awareness, caused by medical conditions, substance abuse, withdrawal eetc
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