Neurology Flashcards
stroke risk factors
HEADS (stroke risk factors)
Hypertension/ Hyperlipidemia Elderly Atrial fib Diabetes mellitus/ Drugs (cocaine) Smoking/ Sex (male)
stroke: young patient’s likely causes
7 C’s (stroke: young patient’s likely causes)
Cocaine Consanguinity [familial such as neurofibromatosis and von Hippel-Lindau] Cancer Cardiogenic emboli hyperCoagulation CNS infection [eg: HIV conditions] Congenital arterial lesion
investigations for stroke
4 P’s (investigations for stroke)
P Plasma: FBC, U&E, ESR, glucose, lipids
P Pump, i.e heart (ECG, echocardiogram)
P Pipes: carotid Doppler ultrasound
P Picture of brain: CT/MRI; detects ischaemia or haemorrhages
first aid response to stroke
FAST (first aid response to stroke)
F: FACE
• Uneven smile
• Facial droop/numbness
• Vision disturbance
A: ARM & LEG
• Weakness
• Numbness
• Difficulty walking
S: SPEECH
• Slurred
• Inappropriate words
• Mute
T: TIME
management for stroke
ABCDEFGHI (management for stroke)
A Advice – lifestyle changes e.g. stop smoking, reduce alcohol intake, lose
weight
B BP control
C Cholesterol control
D Diabetes control
E Elastic stockings (prophylaxis for DVT, PE)
F Fibrillation (anticoagulate, rate control and cardiovert as required)
G Guardian drugs (aspirin, ACE inhibitors, etc)
H Help from occupational therapy (OT), speech and language therapy (SALT)
and specialist stroke nurse
I Incontinence care and limit Immobility (pressure sores and contractures may
develop otherwise)
Meningitis aetiology - Bacterial
Meningitis aetiology - Bacterial
Mnemonic: NHS
N Neisseria meningitides (children and adults; meningococcus)
H Haemophilus influenzae (children)
S Streptococcus pneumoniae (adults and elderly)/(Streptococcus produces the Severest meningitis)/Viral
Meningitis aetiology - Viral
Meningitis aetiology - Viral
Mnemonic: V MECH
V VZV
M Mumps
E Enterovirus/EBV
C Coxsackie virus types A and B
H Haemophilus influenzae/HIV/HSV
Meningitis aetiology - Fungal
Meningitis aetiology - Fungal
Mnemonic: 2 Cʼs
C Cryptococcus (associated with HIV infection)
C Candida
Migraine features
Migraine features Mnemonic: EAT FUN E Episodic A Aura – zigzag lines T Throbbing headache F Family history/F(p)hoto-phobia U Unilateral N Nausea and vomiting
ICH scoring system
IGA says HI (ICH scoring system)
Intraventricular haemorrhage presence
GCS (5-12 = 1; 3-4 = 2)
Age ≥ 80
Haematoma volume ≥ 30 ml
Infratentorial origin of haemorrhage
All is 1 score except GCS (2)
Score Mortality @ 30 d Walk independently @ 12 mo 0 0 70 1 13 60 2 26 33 3 72 3 4 97 8 5 100 0
Distinguishing features of migraine headaches
POUND (distinguishing features of migraine headaches)
Pulsatile quality Duration Of 4 to 72 hours Unilateral location Nausea or vomiting Disabling intensity