Neurology Flashcards
Thunderclap headache?
Subarachnoid harmorrhage
Xanthochromic lumbar puncture?
Subarachnoid haemorrage
Lucid period after head trauma (often followed by sudden collapse or deterioration)?
Extradural haemorrhage
Cogwheel rigidity?
Parkinon’s (spasticity over rigidity)
Woody texture muscle swelling?
Duchenne or Becker MD
Raised CK?
Muscular dystrophy
Toe walker or positive gowers sign?
Muscular dystrophy
Mask-like expression?
Parkinson’s
Fluctuating cognitive deficit?
Lewi body dementia or parkinson disease
REM disturbance?
Lewi body dementia or parkinson disease
Vivid visual hallucinations normally of children and not threatening?
Lewi body dementia
“Acute onset” cognitive disturbance that fluctuates?
Delirium
Personality/ behaviour changes and then dementia?
Frontotemporal dementia (Pick’s disease)
Memory and personality problems in someone with a history of CV disease?
Vascular dementia
Pain on loud noise?
Facial nerve palsy
Painful third nerve palsy?
Aneurysm
Myalgia and myositis and myoglobulinaemia/uria?
Rhabdomyolysis
Inflammatory myopathy with poor response to steroids?
Inclusion body myositis
Weakness + frontal balding + cataracts + ptosis?
Myotonic dystrophy
Leg symptoms + midline shift?
Falcine herniation
Back pain worse on coughing?
Slipped disk
Headache worse on coughing?
Posterior fossa issue
Sciatica + male sexual dysfunction?
Cauda equina syndrome
Pleocytosis on CSF?
Rules out bacterial menignitis
Migraine prophylaxis 1st line? (3)
Propranolol, topirmate or amitryptyline
Migraine prophylaxis 2nd line? (4)
Valproate, pizotifen, gabapentin, pregabalin
Injury to upper brachial plexus?
Erb’s palsy (waiters tip)
Injury to lower brachial plexus?
Klumpke’s palsy (claw hand)
Positive simmond’s test?
Achilles tendon rupture
Purely motor symptoms (UMN and LMN) with ocular sparing?
Motor neurone disease