Archive for the ‘Neurology’ Category

Multi System Atrophy

March 18, 2015

Please Straighten Any Shy Cunts Out

  • Parkinsonism – Striatonigral degeneration
  • Autonomic failure – Shy-Drager syndrome
  • Cerebellar ataxia – Olivopontocerebellar atrophy

Papp-Lantos bodies found

Seizure features

May 7, 2012

The following features can be used to distinguish a seizure from a faint:

CATCH A seizure:

  • Confusion (post-ictal)
  • Amnesia (post-ictal)
  • Tongue-biting
  • Cyanosis
  • Headache (post-ictal)
  • Aura (e.g. olfactory)

Cerebral palsy types

March 10, 2012

SADAM

  • Spastic – increased tone
  • Athetoid / Dyskinetic – involuntary and uncontrolled movements
  • Ataxic – cerebellar damage difficulty with fine motor skills and balance
  • Mixed

Loss of red reflex in eye causes

February 26, 2012

Cataracts Reduce Glow

  • Cataract
  • Retinal detachment
  • Glass eye (note not glaucoma)

Cranial nerve III palsy causes

February 25, 2012

Many Medics Diagnose Third Palsy

  • Multiple sclerosis
  • Myasthenia gravis
  • Diabetes mellitus
  • Trauma
  • Posterior communicating artery aneurysm

Migraine characteristics

February 14, 2012

Migraine pain is POUNDing

  • Pulsatile quality
  • Onset and duration <72 hrs
  • Unilateral
  • Nausea and vomiting
  • Disabling intensity – suffers often have to sit in a dark, quiet room

Delirium causes

February 12, 2012

DELIRIUM

  • Drugs e.g. alcohol, opiates, anticonvulsants, recreational, post-general anaesthetic
  • Electrolyte imbalance e.g. hypoglycaemia, uraemia, liver failure, hypo/hypernatraemia
  • Lacking medication/drugs e.g. alcohol withdrawal
  • Infections e.g. encephalitis, meningitis
  • Reduced sensory input e.g. lack of sleep
  • Intracranial e.g. trauma, strokes
  • Urinary/faecal retention
  • Myocardial e.g. MI or pulmonary e.g. pneumonia

Cataract causes

February 1, 2012

CATARAct

  • Congenital / Chromosomal e.g. Down’s syndrome, Turner’s syndrome
  • Age-related
  • TORCH infections
  • Accident (trauma)
  • Radiation
  • Abnormal metabolism e.g. diabetes mellitus

Lumbar puncture contraindications

December 23, 2011

BRIC

  • Bleeding diathesis (tendency to bleed)
  • Raised intracranial pressure
  • Infection at site of needle insertion
  • Cardiorespiratory compromise

Toxin-induced neurological change causes

December 19, 2011

OTIS CAMPBELL (The town drunk in The Andy Griffith Show)

  • Oral hypoglycaemics / Organophosphates
  • Tricyclic antidepressants, Theophylline
  • Isoniazid, Insulin
  • Salicylates
  • Cocaine, Carbon monoxide
  • Amphetamines, Anticholinergics
  • Methyl xanthines
  • Pesticides, Propoxyphene, PCP
  • Benzodiazepine withdrawal
  • Ethanol withdrawal
  • Lead, Lithium
  • Lidocaine, Lindane