General neurology Flashcards
1
Q
Headache
A
SOCRATES
S unilateral/bilateral?
O suddent, gradual, thunderclap?
C Throbbing, tight?
R ?
A - nausea, vom, v GCS? rash, fever, neck stiff, photophobia, visual loss/change/blur, aura, tender scalp, malaise, rhinorrhoea, lacrimation
T constant, intermittent, single, recurrent, duration, worse at certain times?
E - noise, stress, cough, moving, combing hair, foods etc
S /10
2
Q
Altered consciousness
A
Describe onset - gradual, sudden what were they doing? aura? associated symptoms - dizzy, nausea etc recovery time? amnesia, post ictal? # episodes? witnessed? progressing?
3
Q
PMHx
A
Previous head/spine trauma Diabetes? cancer (mets) epilepsy HTN AF
4
Q
DHx
A
anticonvulsants (things that react with them)
anti depressants
insulin
etc
5
Q
SHx
A
alcohol smoking recreational drugs occupation hobbies home circumstances
6
Q
FHx
A
diabetes CVA IHD migranes cerebral haemorrage
