22 - numbness, paraesthesia and tingling

Question 1

Eg causes of acute cord compression?
Sx?
Ix?
Mx?

Answer 1

Vertebral fracture, malignancy, infection (abcess) or ruptured disc compress the cord.

Act quickly to prevent long term damage.

Symptoms: back pain, a dermatome of hyperalgesia, paralysis and incontinence.

Diagnose with X-ray or MRI.

Treat with dexamethasone or surgery to relieve compression.

Question 2

Strokes covered in another deck

Acute Mx?

Answer 2

ROSIER or ACBD2
CT ASAP

300mg aspirin daily for 2/52 if ischaemic

Thrombolysis with alteplase if ischaemic

Reverse anticoagulation and refer to neurosurgery for haemorrhagic

Question 3

Sub/epi dural haematoma covered in another deck

Which has a lens shape?

Answer 3

EPI

Question 4

3 scoring systems used with strokes

Answer 4

ABCD2
CHADSVASC
HASBLED

Question 5

MS covered in another deck
4 types?
which is most common?

Answer 5

relapsing remitting, secondary progressive, primary progressive, progressive relapsing.
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Most common is relapsing remitting with a stepwise progression

Question 6

What is raynauds?
Can occur with?
What worsens?
What mx?

Answer 6

Episodic Ateriospasm, most common in fingers but also in toes and other extremities. May be triggered by cold.
Numb, pallor, pain. Severe cases result in gangrene.

Can occur with systemic sclerosis or scleroderma usually idiopathic.

Worsened by smoking and stress.

If treatment is necessary, use CCBs.