NEURO history

Question 1

Headache and facial pain history

Answer 1

q

Question 2

Unilateral head pain, severe, preceding flashing lights, [aura before, photophobia]

Answer 2

Migraine

Question 3

Severe headache, sudden onset, possible meningism

Answer 3

SaH

Question 4

Short duration, worse cough/straining, back of eyes

Answer 4

Sinusitis

Question 5

Severe pain, sensitive lights [I think], neck stiffness, systemic Sx

Answer 5

Meningitis

Question 6

Trauma head, slowly progresssing focal deficit

Answer 6

SdH

Question 7

Headache history

Answer 7

q

Question 8

Tender over temples, blurred vision

Answer 8

q

Question 9

headache over weeks or months, possible focal neuro signs, headache worse lying down or morning

Answer 9

Mass lesion

Question 10

History of headaches, bilateral, episodic

Answer 10

Tension

Question 11

Flushing forehead, running nose and eyes, had for 2 weeks the third time this year

Answer 11

Cluster [unilateral pain around eye, common M]

Question 12

Lots of paracetamol bring it on

Answer 12

Analgesia misuse

Question 13

Vision loss on bending or rising

Answer 13

Benign intracranial HTN [or hypotension, unsure about this]

Question 14

Missed questions headaches

Answer 14

Vision, weakness, sensation problems, painkillers, neck stiffness, light sensitivity, morning? N&V, head trauma

Question 15

Morning headache, over the past week

Answer 15

Mass lesion

Question 16

Headache q

Answer 16

q

Question 17

Patient with AF, has HTN, on anticoagulants

Answer 17

TIA

Question 18

Sudden onset, less than 24 hours

Answer 18

TIA

Question 19

Sudden onset weakness history

Answer 19

q

Question 20

Focal prodrome, with headache, less than 24 hours

Answer 20

Migraine

Question 21

The differential diagnosis for TIA

Answer 21

Mass lesions, migraine if headache, also others

Question 22

Hot bath makes Sx worse, unilateral leg weakness, eye problems, fatigue

Answer 22

MS

Question 23

Numbness and weakness legs, SOB, diarrhoea

Answer 23

Guillan Barre syndrome [also AID PMH, can be related to an infection from food]

Question 24

Missed questions sudden onset weakness

Answer 24

fell to the ground, lost consciousness, weakness one side or both, visual disturbances, speech disturbances, IHD RF, spasms/tremor, dizziness/vertigo, balance problems, event before/during/after

Question 25

Sudden onset weakness history

Answer 25

q

Question 26

Tonic-clonic common Sx

Answer 26

Tongue biting, incontinence, tiredness, muscle tiredness, black out, mouth forthing

Question 27

Vasovagal collapse Sx

Answer 27

Preceded by fright, anxiety, postural changes, micutrition, coughing

Question 28

Blacks out after minor exercise

Answer 28

Exertional syncope: obstruction LV outflow by aortic stenosis or cardiac myopathy

Question 29

Mouth frothing, preceding aura, then black- out, post-ictal drowsiness and confusion

Answer 29

Epilepsy tonic-clonic

Question 30

Jerky movements, nausea and dizziness before, blurred vision

Answer 30

Vasovagal collapse

Question 31

Collapse common history

Answer 31

q

Question 32

Confusion before and sweating, also not tht much food that day/medication

Answer 32

Hypoglycaemia

Question 33

Preceding motor/cognitive/sensation differences, palpitations, pale and sweaty before

Answer 33

CV syncope from: TIA/stroke or arrhythmia, or AS etc.

Question 34

Collapse common history

Answer 34

q

Question 35

Niche questions collapse

Answer 35

Situation patient in at time, lost consciousness, incontinent/bit tonuge/mouth frothing/spasming, head injury, EVER HAD head injury, patient feels now with speech/vision/hearing, dizzy or weak sntading up/lting to sitting, pregnant??

Question 36

If F, question should ask in relation to collapse?

Answer 36

Pregnant, abdominal distention, vaginal bleeding, abdo pain