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PCP > Neuro PCP presentations > Flashcards

Neuro PCP presentations Flashcards

1
Q

What are some important associated features to ask when is comes to muscle weakness?

A 
Pain in region
Neck or back pain
Sensory changes
Stroke stuff
Cancer stuff
Problems with urination or defecation
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2
Q

What’s “stroke stuff”?

A

Pins and needles
Vision changes
Slurred speech
Headache

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3
Q

What’s “cancer stuff”?

A

Night sweats
Weight loss
Anorexia

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4
Q

What are some important associated features to ask when it comes to sensory disturbances?

A

Stroke stuff
Cancer stuff
Diabetes stuff

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5
Q

Which of the LOCs can have a prodrome?

A

Vasovagal

Seizure

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6
Q

How can time course help differentiate causes of LOC?

A

Syncopes are usually less than 30s

Seizures can be 1-2 minutes

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7
Q

What are some important context questions with LOC?

A

Emotional event, hunger, stress

Lying, sitting or standing?

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8
Q

How can the period after recovery help differentiate causes of LOC?

A

Syncope usually has a rapid recovery
Vasovagals usually occur without injury

Seizures usually recovery slowly, can be confused, and exhausted/sleepy/achey

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9
Q

Why is site a useful feature in headache?

A

Most migraines (70%) are unilateral

Most tension-type headaches are bilateral

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10
Q

Why is quality a useful feature in headache?

A

Migraines tend to be dull throbbing or pulsating

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11
Q

What are some migraine associated features?

A

Nausea
Vomiting
Photophobia
Phonophobia

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12
Q

What are the 4 main types of dizziness?

A

Pre-syncope
Vertigo
Disequilibrium
Non-specific dizziness

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13
Q

What are the 2 important things to establish in weight loss?

A

Intentional vs unintentional

Increased vs decreased appetite

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14
Q

What sort of drugs could be an aggravating factor for weight loss?

A

Thyroxine
Ritaline
Recreational amphetamines

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15
Q

What are some important associated features for weight loss?

A

Cancer stuff
Dysphagia/odinophagia
Thyroid stuff
Gastro stuff

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16
Q

What’s “thyroid stuff”?

A 
Nervousness
Perspiration
Palpitations
Tremors
More frequent bowel movements
17
Q

What’s important to determine for site of muscle weakness?

A

The specific pattern of weakness:

  • Uni- or bilateral
  • Proximal/distal etc
18
Q

What are two functional measures of severity of muscle weakness?

A

Difficulty with ADLs

Falls or other injuries

19
Q

Muscle weakness:

Important context questions

A

Injury/surgery

Fever, travel, recent viral illness

20
Q

Muscle weakness:

Important PHx questions

A

Cardiovascular risk factors

Medications (statins & steroids)

21
Q

Sensory changes:

Important FHx questions

A

Diabetes
MS
Cancer

22
Q

Muscle weakness:

Important FHx questions

A

Cancer

Other neurological disorders (MS)

23
Q

Sensory changes:

Important PHx questions

A

Chickenpox
Diabetes
Alcohol

PCP (15 decks)

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