Exploring symptoms - Cerebral

Question 1

Symptom: Weakness

Answer 1

Pattern of weakness
Characterise weakness (like fatigue is Myasthenia Gravis)
Associated Neurological symptoms

Question 2

Symptom: Headaches

Answer 2

SOCRATES

Ask about trauma
Fever

Question 3

Red Flags for Headaches

Answer 3

Intracranial Bleed (recent trauma, thunderclap headache)
Subarachnoid, —> Sentinel headache.
Extradural haemorrhage
Subdural haemorrhage

Raised ICP - Headache, confusion, blurred vision, vomiting, papilloedema Hypertension.

Temporal Arteritis - Jaw claudication, scalp tenderness, Visual problems.

Glaucoma - Painful, dilated red eye. Visual blurring and halos.

Meningism symptoms - fever, rash, photophobia, Confused, neck stiffness.

Question 4

Other differentials other than red flags

Answer 4

Migraines

Tension headache

Cluster headache