Unexplained symptoms in Neurology Flashcards
What some examples of unexplained symptoms?
Poor memory Poor concentration Headaches Altered state of taste and smell Tinnitus Dizziness Fatigue Weakness Tingling Pain
What are the rights of the sick role?
Exemption from normal social roles
Not held responsible for their condition
What are the obligations of the sick role?
Should get well
Should accept medical advice
What are the physical manifestations of anxiety?
Autonomic (sweating, palpitations, tingling, dizziness, nausea, diarrhoea, urinary frequency)
Increased motor tone (tremor, muscle pain, tiredness, dysphagia)
Hypervigilance (irritability, poor concentration, easily startled)
What are the physical manifestations of depression?
Sleep Weight Appetite Libido Energy levels Posture Pain perception
What is hypochondriasis?
Preoccupation with disease, fear of illness, persistent belief of unidentified disease
What is somatisation disorder?
Chronic onset before 30
Multiple unexplained physical symptoms
What is conversion disorder?
Loss of function of a body part
Signs mimic neurological disease with inconsistent signs
Patient not conscious of mechanism
What is malingering?
Symptoms or loss of function
Signs mimic neurological disease with inconsistent signs
Patient conscious of mechanisms
What are the features of chronic fatigue syndrome?
Multiple physical symptoms (fatigue, arthralgia, myalgia)
May overlap with other syndromes
Worse after exertion
What is non epileptic attack disorder?
Attacks that look like epilepsy but not caused by abnormal electrical activity in the brain
Drug resistant