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

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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?
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3
Q

PMHx

A
Previous head/spine trauma
Diabetes?
cancer (mets)
epilepsy
HTN
AF
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4
Q

DHx

A

anticonvulsants (things that react with them)
anti depressants
insulin
etc

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5
Q

SHx

A
alcohol
smoking
recreational drugs
occupation
hobbies 
home circumstances
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6
Q

FHx

A
diabetes
CVA
IHD
migranes 
cerebral haemorrage
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