Primary Care Neuro-Optometry

Question 1

Identify the THREE main steps in achieving a diagnosis

Answer 1

Consider a list of possibilities
Perform a process of elimination
Match the data with the diagnosis

Question 2

what are causes of neuron death

Answer 2

Energy Failure
compression
apoposis

Question 3

what are the rate of onset of functional impairments

Answer 3

Slow (month to year)
Not so slow ( days to months)
sudden to fast (second to day)

Question 4

Slow Energy Failure

Answer 4

genetic diseases

B12 Dificiency

Question 5

slow compression

Answer 5

Tumor

Question 6

slow apoptosis

Answer 6

genetic diseases

Question 7

Not so slow Energy Failure

Answer 7

drugs and toxins

Infection

Question 8

Not so slow Compression

Answer 8

Epi and subdural hematoma

abscess

Question 9

Sudden to fast Energy Failure

Answer 9

Inflammation
arteritis
Stroke

Question 10

Sudden to fast Compression

Answer 10

subarachnoid Hemorrhage
aneurysm
apoplexy

Question 11

why a knowledge of neurological anatomy is so important to neurological diagnosis

Answer 11

For each LOCATION within the CNS there is a (relatively) short list of likely etiologies. This is one reason identifying the location is so helpful in differential diagnosis.

Question 12

majority of neurological disease are

Answer 12

Stroke and trauma

Question 13

The number one demographic variable is undoubtedly the patient’s

Answer 13

Age

Question 14

What can the primary eye-care doc do with the patient who may have neuro disease?

Answer 14

Monitor and Manage
Refer
“Primum non nocere.” (do no harm

Question 15

Intracerebral and subarachnoid hemorrhage can be caused from

Answer 15

hypertension, trauma