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Flashcards in Buzzwords Deck (30):
1

thunderclap headache?

Subarachnoid haemorrhage cf. PCKD

2

Xanthochromic LP

SAH (cf fresh blood - traumatic tap)

3

Lucid period after head trauma (often followed by sudden collapse or deterioration)?

Extradural haemorrhage

4

Cogwheel rigidity?

Parkinson's (spastity over rigidity)

5

Woody texture muscle swelling?

Duchenne or Becker MD

6

Raised CK?

MD

7

Toe walker or positive gowers sign?

Muscular dystrophy

8

Mask-like expression?

Parkinson's

9

"Fluctuating" cognitive deficit?

Lewy body dementia or Delerium

10

REM disturbance?

Lewy body dementia or parkinson's

11

Vivid visual hallucinations normally of children and not threatening?

Lewy body dementia

12

"Acute onset" cognitive disturbance that fluctuates?

Delerium

13

Personality/behaviour changes and then dementia?

Frontotemporal dementia (Pick's disease)

14

Memory and personality problems in someone with a history of cardiovascular disease?

Vascular dementia

15

Stepwise deterioration?

Vascular dementia

16

Pain on loud noise?

Facial nerve palsy

17

Painful third nerve palsy?

Aneurysm

18

Myalgia + myositis + myoglobulinaemia/uria?

Rhabdo (--> DIC and renal failure)

19

Inflammatory myopathy with poor response to steroids?

Inclusion body myositis

20

Weakness + frontal balding + cataracts + ptosis ?

Myotonic dystrophy (onset 30s, +ve FHx)

21

Leg symptoms + midline shift?

Falcine herniation

22

Back pain worse on coughing?

Slipped disc

23

Headache worse on coughing?

Posterior fossa issue

24

BL sciatica + male sexual dysfunction?

Cauda equina

25

Pleocytosis on CSF?

Rules out bacterial meningitis

26

Migraine prophylaxis 1st line?

Propranolol, topiramate or amitriptyline

27

Migraine prophylaxis 2nd line?

Valproate, pizotifen, gabapenton, pregabalin (if one drug does not work by 3/12 try another)

28

Injury upper brachial plexus?

Erbs palsy (waiters tip) - more common, associated with shoulder dystocia

29

Injury lower brachial plexus?

Klumpke's palsy (claw hand)

30

+VE Simmonds test?

Achilles tendon rupture