neurology primary care MICA Flashcards
What are they red flags for vertigo?
Severe headache
fever
vomiting
What are the things to examine in a patient with vertigo?
ENT exam
full neuro
Fundoscopy
cerebellar
Dix hallpike
What are symtoms of cerebellar lesions
Dysdiodokokinesia
Ataxia
Nystagmus
Intension tremmor
S
H
How do you treat BPPV
Eppley maneouvre
Differential for patient with vertigo
BPPV- head movement cause vertigo, typically last less than a minute
Meniere- hearing loss or tinitus- rare
labyrinthitis- cold or flue innnerear infection
vestibular neuritis- inflammation of inner ear
space occupying lesion
Examine with someone with a tremor
inspecting tremor at rest- both hands,face, pill rolling tremor
Gait, rigidity, bradykinesia
3 characteristicsof parkinsons?
Pill rolling character
asymetrical
low frequency
THEY are better with tremor and no real family history of trmor
4 cardinal feature of parkinsons
pill rolling tremor
bradykinesia
Rigidity
postural instability
3 feature that an essential tremor more likely?
worse on movement
better with alcohol
onset any age
family history
Management of essential tremor
beta blocker (propanolol)
watchful waiting
primidone
red flag feature of headache
worse when lying down
neckstiffness, photofibia
sudden onset
vision affecting
seizure
loss of consciouness
affecting
rash
fever
vomitting
triggered by valsvalsa
examination of a headache
fundoscopy
cranial nerve
BP
upper limb
lower limb
kernig sign
feature of tension headache
bilateral
pericranial tenderness
pressing tightning character
features of migraine
aura
pulsating
nausea
