Taking a Neurological History Flashcards
What’s needed to know before reaching a neurological diagnosis
Where is the lesion
What is it
Types of lesions
Focal - single lesion
Multifocal- more than one lesion
System disease
Things to look for in a history
Age
Handedness
Main complaint
Are events single or repeated
4 distinct part of the history
The distribution of events over time
Aggravating and precipitants factors, circumstances, time and place
The event
Additional information
Distribution qs
When did you first have these events
What’s the longest interval free of events and when did that occur
Are u completely normal in between
Aggravating factors
Do they occur when you stand or sit or lay down
Relation to exercise or change in position
Occur at day or night
Related to periods
Any specific triggers?
The event/shape of history
Onset- what’s the first thing that tells youirs about to happen
Can you recognise it’s the start of an event
Additional info
Bodily functions and habits
Previous diseases
Family history
Personal history
Appetite
Weight
Sleep
Drugs
Period
Previous diseases
Gone abroad recently
Two important qs
What did you think it may be
Is there anything else you would like to ask
