Neurological history taking Flashcards
1
Q
what can you observe during a neuro history taking
A
state of health mode of dress age eye contact mood tics education intelligence articulation dysphasia
2
Q
how can you assess cognitive function
A
mini mental state examination
abbreviated mental test
3
Q
what are some common neurological presentations
A
altered cognitive ability fits, faints and funny turns headache weakness movement disorders numbness, sensory disorders visual impairments
4
Q
what could cause a collapse
A
cardiovascular, endocrine or neurological
5
Q
what questions can you ask about a collapse
A
what was happening before what factors might have lowered the seizure threshold what position where you in any prodromal symptoms what happened during and after? did anyone witness it?
6
Q
what can you ask about weakness
A
fatigue/ muscle weakness
muscle or nerve problem?
what activities are difficult
7
Q
what about walking
A
has the distance changed what makes you stop what about hills one leg or both sensory symptoms
8
Q
Allodynia
A
increased sensitisation to pain
9
Q
what are some activities of daily living
A
transfering eating bathing dressing toiletting walking/ moving
10
Q
what should you ask about drugs
A
compliant? optimal? could it cause the problem any drug interactions non prescribed drugs alcohol symptoms if you dont take drugs
11
Q
what should you ask in the systems enquiry
A
psychological/ depression
ANS - bladder, bowel, sexual, light headedness
recent infection
family hx
12
Q
what are the cranial nerve screening questions
A
change in sense of smell vision changes dry eyes/ mouth/ taste hearing diziness change in voice articulation
