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Line 219: − − =Missed Concepts= − *SNRI (venlafaxine), SSRIs, or TCAs can be used for narcolepsy associated cataplexy (loss of muscle tone associated with strong emotions) − *Lower limb hypertonia (spasticity), hyperreflexia, clonus, associated with developmental delay in an infant with history of prematurity or intrauterine infection, think cerebral palsy. Clinical diagnosis, but MRI will show periventricular leukomalacia and basal ganglion lesions. − *Suspicion for abusive head trauma in an infant should be evaluated with a '''head CT''' − *'''Epilepsy followed by renal failure''' are the leading causes of death in tuberous sclerosis. − *Treatment for DA antagonist (metoclopramide, prochlorperazine, antipsychotics) induced acute dystonia (such as torticollis) is IV diphenhydramine or benztropine.
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=Missed Concepts=
*SNRI (venlafaxine), SSRIs, or TCAs can be used for narcolepsy associated cataplexy (loss of muscle tone associated with strong emotions)
*Lower limb hypertonia (spasticity), hyperreflexia, clonus, associated with developmental delay in an infant with history of prematurity or intrauterine infection, think cerebral palsy. Clinical diagnosis, but MRI will show periventricular leukomalacia and basal ganglion lesions.
*Suspicion for abusive head trauma in an infant should be evaluated with a '''head CT'''
*'''Epilepsy followed by renal failure''' are the leading causes of death in tuberous sclerosis.
*Treatment for DA antagonist (metoclopramide, prochlorperazine, antipsychotics) induced acute dystonia (such as torticollis) is IV diphenhydramine or benztropine.
*Cerebral palsy is a common complication of premature and presents by 1-2 with '''UMN signs, periventricular leukomalacia (get brain MRI), delayed motor milestones'''.
=Brain=
=Brain=
==Stroke==
==Stroke==
*Dx: MRI shows atrophy of mammary bodies. EtOH level. Presents with ataxia, '''ophthalmoplegia''', confusion, confabulation, retrograde amnesia. Differential includes NPH.
*Dx: MRI shows atrophy of mammary bodies. EtOH level. Presents with ataxia, '''ophthalmoplegia''', confusion, confabulation, retrograde amnesia. Differential includes NPH.
*Tx: High dose thiamine. Electrolyte repletion. Multivitamin. CIWA protocol for EtOH withdrawal.
*Tx: High dose thiamine. Electrolyte repletion. Multivitamin. CIWA protocol for EtOH withdrawal.