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Step 2 CS > NUMBNESS/WEAKNESS > Flashcards

NUMBNESS/WEAKNESS Flashcards

1
Q

numbness/weakness key hx: onset

A

acute, chronic, relapsing

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2
Q

numbness/weakness key hx: location

A

distribution (UL/BL, proximal/distal)

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3
Q

numbness/weakness key hx: timing

A

duration/progression

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4
Q

numbness/weakness key hx: character

A

pain (headache, neck/back pain)

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5
Q

numbness/weakness key hx: assoc. sxs

A

constitutional sxs

other neuro sxs

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6
Q

numbness/weakness key hx: med hx

A

hx or diabetes, alcoholism, atherosclerotic vascular dz

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7
Q

numbness/weakness key PE

A

VS
neuro and MSK exams
relevant vascular exam

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8
Q

TIA ddx

A

stroke
migraine with sensory aura
hypoglycemia
seizure with Todd paresis

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9
Q

TIA w/u

A 
ct head
cbc
elytes, glucose
fasting lipid panel
ecg
mri brain
doppler u/s carotid
echocardiography
eeg
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10
Q

stroke ddx

A 
tia
seizure with Todd paresis
intracranial neoplasm
subdural or epidural hematoma
hypoglycemia
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11
Q

stroke w/u

A 
ct head
cbc
elytes, glucose
pt/ptt/inr
fasting lipid panel
mri brain
mra
doppler u/s carotid
echocardiography
ecg
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12
Q

guillain-barre syndrome ddx

A

MS
transverse myelitis
spinal cord compression
peripheral neuropathy

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13
Q

guillain-barre syndrome w/u

A 
cbc
elytes
mri spine
cpk
electromyography
nerve conduction studies
lp -- csf analysis
PFTs
serum b12
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14
Q

MS ddx

A 
stroke
cns vasculitis
conversion disorder
malingering
cns tumor
vitamin b12 deficiency
neurosyphilis
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15
Q

MS w/u

A 
cbc
esr
ana, anca
vdrl/rpr
serum b12
mri brain, spine
lp -- csf analysis
visual evoked potentials
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16
Q

diabetic peripheral neuropathy ddx

A 
alcoholic peripheral neuropathy
b12 deficiency
uremic nephropathy
hypocalcemia
hyperventilation
paraproteinemia/myeloma
17
Q

diabetic peripheral neuropathy w/u

A 
HbA1c
glucose
esr
calcium
serum b12
ua
TFTs
urea, elytes
serum and urine protein electrophoresis
emg
nerve conduction studies
18
Q

myasthenia gravis ddx

A

MS
intracranial neoplasm compressing CN III, IV, or VI
Horner syndrome
botulism

19
Q

MG w/u

A 
ice pack test
tensilon (edrophonium) test
anti-AChR Abs
emg
nerve conduction studies
cxr
ct chest
mri brain
20
Q

Todd paralysis ddx

A 
TIA
stroke
intracranial neoplasm
hemiplegic migraine
head injury
hypoglycemia
malingering
21
Q

Todd paralysis w/u

A 
cbc
glucose, elytes
toxin levels
eeg
ct brain
mri brain
doppler u/s carotid
22
Q

carpal tunnel syndrome ddx

A

overuse injury of median nerve
cervical disc disease
medial epicondylitis

23
Q

carpal tunnel syndrome w/u

A

TSH
CBC
EMG
nerve conduction study

Step 2 CS (39 decks)

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