POM Flashcards
Check the neuro exam list for the first POM lecture
Also check the summary sheet when it comes out
Some features of low risk headaches
Happens many times before/no neurologic deficits
Some features of dangerous headaches
First bad headache/sudden onset/change in neurologic
Examples of chronic episodic 2nd headache
Chiari headache/sinus headache (look for pus)/cervical headache (usually occur on the same side)
What is the diagnostic criterions for migraine?
At least 5 attacks/each last from 4-72 hours (untreated duration)/unilateral/aggravated by routine activities
What do you feel during migraine?
Nausea
What is the diagnostic criterions for chronic tension headache?
At least 10 attacks/last 1-2 hours/bilateral/pressure pain/not aggravated by routine activities
What is the diagnostic criterions for chronic cluster headache?
At least 5 attacks/spikes and then go down/really severe headache
Examples of 2nd continuous headache
Transformed migraine (NSAID overuse)
What focused neurological exams should you perform for headache that might be caused by brain tumor or hemorrhage?
Fundus/visual field/ocular movement/facial strength
Examples of acute headache?
Subarachnoid hemorrhage/meningitis/venus sinus thrombosis/arterial dissection
What test is done for acute headache?
CT and then LP
When inspect joint pain, use LIMDA. What is LIMDA?
location/inflammation/monoarticular or not/duration/associated symptoms
For acute inflammatory knee, you do ___ to do synovial fluid analysis to rule out septic arthritis
arthrocentesis
___ and ___ viscosity of synovial fluid indicates inflammation?
Turbidity and low viscosity
Why is urgent to rule out septic arthritis for knee?
Septic arthritis can destroy knees in a few days
What is anserine bursitis?
Inflammation of anserine bursa below the knee
If you see inflammatory polyarticular arthritis, think?
RA
If you see infected polyarticular arthritis, think?
Hep C and B/parvovirus
Rheumtoid factors are ___ but not ___?
sensitive but not specific
Cyclic citrullanated protein anitbody are not ___ but ___?
Not sensitive but specific
Post infection polyarticular arthritis is?
Reactive arthritis
You see bone spur in?
Osteoarthritis
What is the time for acute/subacute/chronic low back pain?
less than 6 weeks/6-12 weeks/longer than 12 weeks
Dysfunction at cauda equina causes?
Bowel and bladder problems
Bed rest should not be go over __ days with low back pain?
2
Seizure is abnormal ___ and ____ discharge of the neuronal network
Excessive and synchronous
Difference between partial and generalized seizures?
Partial—>start from one point/can lead to generalized/generalized—>start from multiple points
Difference between simple and complex partial seizures?
Simple—>no impair of consciousness/complex—>impair of consciousness
What is secondary generalized seizures?
Partial seizure that progresses to generalized seizure
What is the sub classification of generalized seizures
Convulsive and non convulsive
What is semiological classification of seizures?
Focus on what symptoms you are seeing of the pts in front of you—>sensorial (auras)/dialeptic (impair of consciousness)/motor/autonomic (palpitation or hot flashes)/special (loss of tone)
Does generalized seizures have impair of consciousness?
Aye
What is psychogenic nonepileptic seizures like?
back arching/pelvic thrusting/side to side head movement with eyes closed/no or very brief post ictal period
Screening programs look better than they really are because?
Self selection bias (ppl who get screening program is usually healthier)/lead time bias (ppl who participates screening program survive longer only because their disease was detected earlier)/length time bias (ppl whose disease was detected through the screening program usually has longer DPCP (detectable pre clinical phase) therefore their disease tend to be benign or progress slowly)
