15/03 Flashcards
How can a chronic and acute haematoma be differentiated on a CT head scan?
Chronic haematoma will be hypodense (dark) whereas acute will be hyperdense (bright)
What are features of temporal lobe seizures?
Hallucinations
Lip smacking
Grabbing/plucking
Sense of de ja vu
What are features of parietal lobe seizures?
Sensory disturbances
What are key features to check in patients in status epilepticus?
Look at oxygen saturations and blood glucose for underlying cause
What cancer is myasthenia gravis associated with?
Thymomas
What are key features of multiple system atrophy?
Parkinsonism features in combination with autonomic disturbances
- erectile dysfunction
- atonic bladder
- postural hypotension
Cerebellar signs- ataxic gait
When is an urgent referral to ENT warranted for Bells Palsy?
If no improvement of symptoms after 3wks of steroids
Worsening of symptoms
Unclear diagnosis
Red flag features of cancer
Why is migraine a contraindication for COCP?
Increased risk of stroke
What are features of Weber Syndrome?
Ipsilateral cranial nerve 3 palsy
Contralateral weakness
What is the management of myasthenic crises?
Plasmapheresis
IV immunoglobulins
What is a common finding on CSF for MS?
Presence of oligoclonal bands
What should be done if a patient has a GCS <8?
Review by anaesthetist and consideration for intubation and ventilation
