中毒は救急ですかね。
中毒症状と離脱症状を覚えないとですね。
agricultural industry + exposure harvesting produce with bare hands → organophosphates.
短絡的！
cholinergic excessの症状は→bradycardia, diarrhea, lacrimation.
mnemonic DUMBBELSS:
・Diarrhea/defecation
・Urination
・Miosis
・Bronchospasm
・Bradycardia
・Excitation of skeletal muscle & CNS
・Lacrimation
・Sweating
・Salivation.
治療はAtropine.
コリン作用のmnemonicsはDUMBBELSS。
しかし、馴染みがなさすぎて覚えきれん。
・Anterior communicating arteryの障害では頭痛と視野変化が起きる。
・Left posterior inferior cerebellar artery infarctionではlateral medullary syndrome (Wallenberg syndrome)。
→症状はataxia, loss of ipsilateral face and contralateral body pain and temperature sensation, with no real bodily paralysis。
・Left anterior inferior cerebellar artery infarctionでは同側の顔面神経麻痺。
・Anterior cerebral artery damageでは反対側の下肢運動感覚障害。
・Middle cerebral artery lesionsでは上肢の運動感覚障害。
・The anterior cerebral artery (ACA) supplies the anterior medial surface of the brain, along the interhemispheric fissure, including the motor and sensory cortices of the contralateral lower limb。前交通動脈は下肢の運動感覚を含む部位に栄養。
・The anterior inferior cerebellar artery (AICA) supplies blood to the middle and inferior cerebellar peduncles and the lateral pons. Occlusion of the AICA results in lateral pontine syndrome.
The most specific clinical sign is paralysis of the ipsilateral face, which is absent in this patient.
An AICA lesion manifests with signs and symptoms of vestibular and cerebellar dysfunction (vomiting, vertigo, nystagmus, ataxia, and dysmetria).
前下小脳動脈は橋外側
→lateral pontine syndrome
同側の顔の温痛覚と対側の体幹の温痛覚＋前3分の2の味覚低下。
症状は嘔気、めまい、眼振、失調、測定障害
・Medial medullary syndrome is caused by an infarct of the anterior spinal artery.
延髄外側症候群は前脊髄動脈の梗塞
