Extra Information Flashcards
What is a key question to ask if someone presents with loss of consciousness
Before? During? After?
What can be used to treat trigeminal neuralgia
Antiepileptics e.g. carbamazepine
What is trigeminal neuralgia described as
Electric shock
Name a test for confusion (dementia)
AMT
Describe AMT
Abbreviated mental test score out of 10 - rapidly assess elderly patients for possible dementia
What questions are asked as part of AMT
Age
Time (nearest hour)
Current year
Patients home address
What jobs do these people do (point to 2)
DOB
Year WW1 started
Current monarch
Count backwards 20 to 1
Recall address given earlier
What are the key questions to ask to determine someone’s confusion
Time - year? to nearest hour?
Place - where do you live?
Person - what is my job?
Sequence - 20 to 1 backwards
Memory - name and address
What is the 4 As test for
Determining delirium
What is the AMT-4
Abbreviated mental test 4
What is the AMT-4 used for
Assess mental impairment in elderly patients
Describe the 4 As test
Alertness
AMT-4
Attention - months in reverse order
Acute change/fluctuating course of mental status
Describe the AMT-4 test
Age
DOB
Place (name of hospital)
Current year
Define postural hypotension
Drop > (or equal to) 20mmHg systolic
And/or
> (or equal to) 10mmHg diastolic
Occurs within 3 minutes of standing
If someone is on beta blockers and presents to A&E and has a normal HR what might this mean
Beta blockers can mask tachycardia in response to stress (like normal - will not go up). Can be falsely reassuring
What can hypoglycaemia mimic
Can mimic strokes
