Nuerology in the ED

Question 1

What is paraplegia?

What is Hemiplegia?

What is Quadriplegia?

What is Ascending motor loss?

What is Descending motor loss?

What is Diffuse pattern motor loss?

Answer 1

Question 2

What other types of conditions can mimic a Stroke ?

Answer 2

Question 3

How would you treat this patient ?

Answer 3

Question 4

Answer 4

• 300mg asprin
• Discuss with stroke team
• Carotid Doppler
• ECG - look for AF
• Need to be seen within 24 hour of symptoms.
• Those already on anticoagulants must have CT to rule out haemmorage.
• Discharge with worsening advice.

Question 5

What examinations are included in a full nuero exam ?

Answer 5

• Cranial nerves
• Upper and lower PNS
• Cerebellum

Question 6

What is this ?

Answer 6

Bells palsy

Question 7

What is some differential diagnosis of facial palsy ?

Answer 7

Question 8

Explain the difference between upper and lower motor nuerons

Answer 8

If the forehead is not involved it’s an upper motor neuron so it’s a red flag !!!

Question 9

What are the red flags for a bells balsy ?

Answer 9

Question 10

What is the treatment for a bells palsy?

Answer 10

Question 11

What two physical examinations can be done for meningitis?

Answer 11

Question 12

What is the management for meningitis

Answer 12

Question 13

how to manage a subarachnoid heammorage

Answer 13

Manage BP with a labetalol infusion.

CT.

Speak to Nero.

Nimodipine is given for 21 days.

Question 14

What is this ?

How is it diagnosed?

Answer 14

Question 15

How might MS present ?

Answer 15

Question 16

What is this?

Answer 16

Question 17

How to manage cauda equina syndrome ?

Answer 17

MRIII