1.1 Neuro Introduction

Question 1

Most important aspect of history taking

Answer 1

Attentive listening

Question 2

Why is there a need to know the handedness of a patient?

Answer 2

To know which hemisphere of the brain is dominant

Question 3

The reason why a patient seeks consult. Need to use of open ended questions

Answer 3

Chief complaint

Question 4

The history and details behind the chief complaint

Answer 4

History of present illness

Question 5

In HPI, think PQRST meaning:

Answer 5

P- palliative, provoking, precipitating
Q- quality
R- region/ radiation (site)
S- severity (VAS)
T- timing (frequency/duration)

Associated symptoms and treatments

Question 6

Designed in part to detect health problems of which pt may not complain but which never the less requires attention

Answer 6

Review of systems

Question 7

Important because some neurologic symptoms may be related to a systemic disease

Answer 7

Past medical history

Question 8

Includes Heredofamilial disorders and focuses on the pt’s lineage

Answer 8

Family medical history

Question 9

Includes pt’s marital status, educational level, occupation and personal habits

Answer 9

Personal and social history

Question 10

Type of lesion: occlusion, hemorrhage, vasculitis

Answer 10

Vascular

Question 11

Type of lesion: bacterial, viral

Answer 11

Infectious

Question 12

Type of lesion: gross trauma, radiation, drugs

Answer 12

Toxic/ traumatic

Question 13

Type of lesion: SLE, RA

Answer 13

Autoimmune

Question 14

Type of lesion: granuloma, leukemia

Answer 14

Neoplasmic/ nutritional

Question 15

Diagnostic catechism in neurology

Answer 15

1. Is there a lesion?
2. Where is the lesion?
3. What is the lesion?
4. What laboratory tests will confirm or reject diagnosis?
5. What is the optimum and preventive management

Question 16

Cornerstore of medical diagnosis

Answer 16

History taking