Neurology Flashcards
thunderclap headache
subarachnoid haemorrhage
Xanthroxhromic lumbar puncture
subarachnoid haemorrhage
lucid period after head trauma, often followed by sudden collapse or deterioration
extradural haemorrhage
cogwheel rigidity
Parkinson’s
woody texture muscle swelling
Duchenne or Becker muscular dystrophy
raised CK
muscular dystrophy
toe walker or positive Gowers sign
muscular dystrophy
mask-like expression
Parkinson’s
fluctuating cognitive deficit
Lewy body dementia or delirium
vivid visual hallucinations of children and not threatening
lewy body dementia
acute onset cognitive disturbance that fluctuates
delirium
personality/behavioural changes and then dementia
frontotemporal dementia (Pick’s disease)
memory and personality problems in someone with a history of cardiovascular
vascular dementia
Stepwise deterioration
vascular dementia
pain on loud noise
facial nerve palsy (?)
myalgia +myositis + myoglobulinaemia/uria
rhabdomyolysis leading to DIC and renal failure
inflammatory myopathy with resistance to steroids
inclusion body myosotis
weakness + frontal balding + cataracts + ptosis
myotonic dystrophy (onset 30s + FHx)
leg symptoms + midline shift in brain
falcine herniation
back pain worse on coughing
slipped disc (? ribs, resp pain surely as well)
headache worse on coughing
posterior fossa issue (? sinusitis, raised ICP)
bilateral sciatica + male sexual dysfunction
cauda equina
pleocytosis (presence of abnormally numerous lymphocytes) on CSF
rules out bacterial meningitis
migraine prophylaxis first line (3)
propranolol
topiramate
amitriptyline
migraine prophylaxis second line (4)
valproate
pizotifen
gabapentin
pregablain
if one does not work for 3/12 try another
Injury to upper brachial plexus, commonly shoulder dislocation
Erb’s palsy (waiters tip)
Injury to lower brachial plexus
Klumpke’s palsy (claw hand)
positive Simmond’s test
achilles tendon rupture
