Diseases 1/21/18

Description

Medicine Flashcards on Diseases 1/21/18, created by Sandra Weaver on 21/01/2018.
Sandra Weaver
Flashcards by Sandra Weaver, updated more than 1 year ago
Sandra Weaver
Created by Sandra Weaver over 6 years ago
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Question Answer
PICK DISEASE definition Degenerative disease of the frontal & temporal cortex; spares the parietal & occipital lobes
PICK DISEASE looks like/location symptoms 1. round aggregates of tau protein (Pick bodies) in neurons of cortex 2. behavioral and language symptoms early-then dementia
PARKINSON DISEASE Definition; related to; etiology 1. Degenerative loss of dopaminergic neurons in the substania nigra of ganglia 2. related to aging - 2% of adults 3. unknown etiology
PARKINSON DISEASE Clinical features TRAP T=Tremor R= Rigidity A= Akinesia P= Postural instability & shuffling gait
PARKINSON DISEASE Histology 1. loss of pigmented neurons in substantia nigra & round eosinophiic inclusions of a-synuclein (Lewy bodies)
PARKINSON DISEASE Dementia - early Histology suggestive of Lewy body dementia-characterized by dementia, hallucinations and partkinsonian features Histology-corical Lewy bodies
HUNTINGTON DISEASE Definition Degeneration of GABAergic neurons in the caudate nucleus of the basal ganglia
HUNTINGTON DISEASE Definition details (2) 1. Autosomal dominant disorder (chromosome 4) characterized by expanded trinucleotide repeats (CAG) 2. Further expansion of repeats during spermatogenesis leads to anticipation
HUNTINGTON DISEASE Presents with; average age; inclined to 1. presents with chorea -dementia and depression 2. average age 40 3. suicide
SPONGIFORM ENCEPHALOPATHY Description Degenerative disease due to prion protein
SPONGIFORM ENCEPHALOPATHY prion protein CNS neurons in an a-helical configuration (PrPc)
SPONGIFORM ENCEPHALOPATHY How does disease arise ... 1. conversion to B-pleated conformation (PrPsc)
SPONGIFORM ENCEPHALOPATHY Pathologic Protein (3) 1. not degradable 2. converts normal protein into pathologic form resulting in vicious cycle 3. Damage to neurons and glial cells characterized by intracellular vacuoles (spongy degeneration)
SPONGIFORM ENCEPHALOPATHY Creutzfeldt-Jakob disease (CJD) (3) 1. sporadic 2. rarely can arise - exposure to prion infected human tissue (human growth hormone) 3. presents as rapidly progressive dementia/ataxia & startle myoclonus (EEG-spike waves /death in less than yar)
SPONGIFORM ENCEPHALOPATHY Creutzfeldt-Jakob disease (CJD) Variant special form exposure to Bovine spongiform encephalopathy (mad cow disease)
SPONGIFORM ENCEPHALOPATHY Familial Fatal Insomnia (3) inherited severe insomnia exaggerated startle response
GLIOBLASTOMA MLTIFORME (GBM) Description (2) arises ? 1. Malignant, high grade tumor of astrocytes 2. most common malignant CNS tumor in adults 3. arises in cerebral hemisphere/crosses corpus callosum (butterfly lesion)
GLIOBLASTOMA MLTIFORME (GBM) Characterized by...(2) Prognosis 1. regions of necrosis surrounded by tumor cells (pseudolpalisading) and endothelial cell proliferation 2. GFAP positive 3. poor prognosis
MENINGIOMA Description Who 1. Benign tumor of arachnoid cells 2. most common CNS in adults 3. common in women/rare in children
MENINGIOMA Presents as Location seizures compresses cortex (no invasion_
MENINGIOMA imaging histology round mass attached to dura whorled pattern psammoma bodies may be present
SCHWANNOMA Description Location Presents 1. Benign tumor of Schwann cells 2. involves cranial or spinal nerves 3. Cranium: Cranial 8 nerve at cerebellopontine angle & presents as hearing loss and tinnitus
SCHWANNOMA Tumor cells are... Bilateral tumors are seen? 1. cells are S-100 positive 2. Bilateral tumors are seen in neurofibromatosis type 2
OLIGODENDROGLIOMA definition 1. Malignant tumor of oligodendrocytes
PARKINSON NIgrostriatal pathway of ganglia uses ______ for ________________ dopamine for movement
SPONGIFORM ENCEPHALOPATHY Conversion can be (3) conversion can be sporadic, inherited, transmitted
OLIGODENDROGLIOMA imaging Imaging =calcified tumor in the white matter, usually involving frontal lobe
OLIGODENDROGLIOMA presents may present with seizures
OLIGODENDROGLIOMA Looks on biopsy Fried egg appearance on biopsy
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