Neurological History Taking Flashcards

1
Q

name their 4 times of onset and their time frame from the beginning of symptom onset

A

sudden - abruptly
acute - peaks within a week
subacute 1-4 weeks
insidious - over a month to peak

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2
Q

if the problem is intermittent, what should also be found out?

A
character
duration
frequency
severity
exacerbating factors
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3
Q

when looking at “T” of socrates what should be explored?

A

if the problem is seasonal, diurnal, nocturnal

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4
Q

what should be asked in FHx?

A
do they have any hereditary disease
usual Qs - cancer etc
movement disorers
migraine
epilepsy
CVD
myopathy
cerebellar disease
family size
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5
Q

what social Hx q’s are especially important in neuro?

A
JOB
driving
education level
exotic travel history
stress/alcohol/caffeine - any triggers?
smoking - CVD
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6
Q

what systems are relevant to cover in systemic enquiry?

A

ear eg dizziness, tinnitus, hearing loss
cardio
gait, balance, coordination
EYE eg visual loss etc

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7
Q

general neuro questions to always ask?

A
fatigue
sleeping
tremor
numbness/tingling
eye problems
gait 
memory
dizziness
seizures
speech problems
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8
Q

what precipitating factors should be asked in a chronic headache patient?

A

alcohol
sleep deprivation
foods
bright light

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9
Q

what alleviating factors should be asked in a chronic headache patient?

A

rest/quiet
dark room
activity
medications

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10
Q

most important PMH question in someone presenting with neuro deficit

A

RECENT TRAUMA

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11
Q

PMH q’s to ask in someone with back and leg pain?

A

Hx of disc herniation, surgery or previous back pain

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12
Q

screen q’s for cauda equina?

A

bladder
bowel
sexual dysfunction

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13
Q

how should a seizure/syncopal history be structured?

A
timing of attack
patient's recollection
where?
what happened after?
body position before attack
any triggers?
tonic/clonic activity
symptoms after the event
time to recover
finish with collateral Hx
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14
Q

PMH q’s in a patient with memory loss?

A
thyroid disease
anaemia
B12
STD
HIV risk factors
head trauma
vascular problems
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15
Q

systemic enquiry q’s for a patient with memory loss?

A
smell/taste problems
balance
walking
bladder control
headache
depressive symptoms
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