26. Limb Weakness Flashcards
What are the possible anatomical locations for the lesion causing Mr Walker’s limb weakness?
What are your differential diagnoses for limb weakness?
How to distinguish between upper and lower motor neuron lesions?
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?
What is the differential for this type of lesion? Are there any clues to the aetiology from the examination above?
- Stroke (infarct or haemorrhage)
- Cerebral mass (eg. tumour, abscess - potentially with a bleed into it)
- Hemiplegic migraine
- Hypoglycaemia (can present with localised signs although it is unclear how)
5 Investigations to diagnose a suspected right-sided MCA stroke?
Which 2 second-line investigations should Mr Walker have on the stroke unit?
= 3
= 5 things
Provide an algorithm for acute management of stroke.
Assessment and diagnosis?
Management of TIAs?
Which modifiable risk factors will be addressed? (6)
What medications is Mr Browne likely to be recommended following his TIA?
Diagnosis?
3 Investigations to confirm diagnosis?
Why don’t all patients with ischaemic strokes receive thrombolysis treatment? What is the evidence to support thrombolysis?
- 15 Contraindications to thrombolysis?
What scale is used to grade limb weakness?