TO AID DIAGNOSIS

Question 1

5D’S

Answer 1

Diplopia
Dizziness
Drop attacks
Dysarthria
Dysphagia

Question 2

3N’S

Answer 2

Nausea
Numbness
Nystagmus

Question 3

1A

Answer 3

Ataxia

Question 4

S&S OF SERIOUS PATHOLOGY

Answer 4

Constant pain
Pain that is not related to movement
Presence of severe spasm
Night pain
Night sweats
History of cancer
Recent fracture or trauma

Question 5

SYMPTOMS OF SPINAL CORD COMPROMISE

Answer 5

Non-dermatomal symptoms
Ataxia or clumsiness
Increased reflexes
Positive Babinski sign
Clonus
Non-myotomal muscle weakness

Question 6

WHAT IS THE WELLS CRITERIA FOR?

Answer 6

For assessing the risk of a DVT in a patient

Question 7

WELLS CRITERIA

Answer 7

Active cancer +1
Paralysis, paresis or recent plaster immobilisation of the lower extremities +1
Recently bedridden for 3 days or major surgery within the last 12 weeks +1
Localised tenderness along the deep venous system +1
Entire leg swollen +1
Calf swelling > 3cm larger than asymptomatic side +1
Collateral superficial veins +1
Previously documented DVT +1
Alternative diagnosos at lease as likely as a DVT -2

Question 8

CLINICAL PROBABILITY OF DVT USING THE WELLS CRITERIA

Answer 8

> 2 = UNLIKELY
<3 = LIKELY

Question 9

CAUTION ACRONYM - WHAT IS IT FOR?

Answer 9

Earliest cancer warning signs

Question 10

CAUTION

Answer 10

C - changes in bowel or bladder
A - a sore that does not heal
U - unusual bleeding or discharge
T - thickening or lump
I - indigestion or difficulty swallowing
O - obvious changes in warts or moles
N - nagging cough or hoarseness

Question 11

VINDICATE ACRONYM - WHAT IS IT FOR?

Answer 11

To help with systemic differential diagnosis

Question 12

VINDICATE

Answer 12

V - vascular
I - inflammatory or infectious
N - neoplastic
D - degenerative or drugs
I - idiopathic or intoxication
C - congenital
A - autoimmune or allergy
T - traumatic
E - endocrine or environment