26. Limb Weakness Flashcards

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2
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3
Q

What are the possible anatomical locations for the lesion causing Mr Walker’s limb weakness?

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4
Q

What are your differential diagnoses for limb weakness?

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5
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6
Q

How to distinguish between upper and lower motor neuron lesions?

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7
Q

Other than upper vs. lower motor neuron distinguishing features, what else will you look for on physical examination to help you locate the likely anatomical site of this patients lesion?
- Language defects?
- Attention defects?
- Eye signs?
- Sensory symptoms?

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8
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9
Q

What is the differential for this type of lesion? Are there any clues to the aetiology from the examination above?

A
  1. Stroke (infarct or haemorrhage)
  2. Cerebral mass (eg. tumour, abscess - potentially with a bleed into it)
  3. Hemiplegic migraine
  4. Hypoglycaemia (can present with localised signs although it is unclear how)
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10
Q

5 Investigations to diagnose a suspected right-sided MCA stroke?

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11
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12
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13
Q

Which 2 second-line investigations should Mr Walker have on the stroke unit?

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14
Q

= 3

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15
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= 5 things

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16
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17
Q

Provide an algorithm for acute management of stroke.

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19
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Assessment and diagnosis?

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20
Q

Management of TIAs?

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21
Q

Which modifiable risk factors will be addressed? (6)

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22
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What medications is Mr Browne likely to be recommended following his TIA?

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24
Q

Diagnosis?

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25
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3 Investigations to confirm diagnosis?

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26
Q

Why don’t all patients with ischaemic strokes receive thrombolysis treatment? What is the evidence to support thrombolysis?
- 15 Contraindications to thrombolysis?

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29
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What scale is used to grade limb weakness?

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35
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