Best Initial MCC
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MS CSF: OligonL BANDS
M.S Pathogonomonic:
alzhymer MRI: Diffuse brain atrophy
alzhymer. Amyloid protein deposition
Pick`s dse = MRI: symmetrical
=Multi infarction dementia
Increase T2 weighted density in periventricular area
Huntington`s dse 30-50Y , Autosomal D. , mood dist. ,Depression chorea mov. , F.H
Huntington`s dse CT : caudate atrophy
Parkinson Most effecative ttt : L
NPH Hallmark Triade: Dementia , Gait disturbance , Urine incontenince
Cortical , subcortical atrophy
,
Wernicks encephalopathy
Triad : encephalopathy , occulomotor dysfun. & ataxic gait
Waterhuse fredrich s Bi. adrenal insufficiency ( bleeding )dt menigococal meningitis
Pseudotumor cerebri Empty sella on CT
MRI:
Renal
Multiple myloma Elderly+ bone pain + hypercalcemia+renal faliure
Alport s
OligonL BANDS( not diagnostic)
Pathogonomonic: intra-nuclear ophthalamoplegia (MLF demylination)
MRI: Diffuse brain atrophy
Amyloid protein deposition
MRI: symmetrical F, T lobe atrophy
Increase T2 weighted density in periventricular area
وعیلتھ ھو بیرقص و مكتئب عتھ عنده وحش مزاجھ و50Y , Autosomal D. , mood dist. ,Depression chorea mov. , F.H
caudate atrophy
Most effecative ttt : L-Dopa
Hallmark Triade: Dementia , Gait disturbance , Urine incontenince
Cortical , subcortical atrophy & 2ry ventricular enlargement
, , )
encephalopathy , occulomotor dysfun. & ataxic gait
Bi. adrenal insufficiency ( bleeding )dt menigococal meningitis
Empty sella on CT
Elderly+ bone pain + hypercalcemia+renal faliure
nuclear ophthalamoplegia (MLF demylination)
Increase T2 weighted density in periventricular area
و ساده قھوتھ سنھ 50- 30 مریض50Y , Autosomal D. , mood dist. ,Depression chorea mov. , F.H
Hallmark Triade: Dementia , Gait disturbance , Urine incontenince
& 2ry ventricular enlargement
(
encephalopathy , occulomotor dysfun. & ataxic gait
Bi. adrenal insufficiency ( bleeding )dt menigococal meningitis
Elderly+ bone pain + hypercalcemia+renal faliure
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NEURO
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. الحكم الذاتي . وكیل
. وكیل الرعایة الصحیة . تقدم التوجیھ
. المعین . االحسان . ملموسة . الزوج
. األشقاء =====
. لجنة األخالق . عبث الطبیة
. أمر من المحكمة . تمنح
. الموافقة حل محل
. القتل الرحیم . القصد
. غیر مجدیة شبكة متبرع
. السریة . استدعاء
.تبریر
. العنف المنزلي . مصادرة . التعذیب
محل التزامك
autonomy. agent. health care proxy. advance directive. designated. beneficence. concrete. spouse. siblings. ===== ethics committee. medical futility. court order. confer. consent. supersede euthanasia. intent. futile. organ donor network confidentiality. subpoena. warrant. domestic violence. confiscating. torture. supersedes your obligation
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