What is an important quality question related to dizziness?
Does it feel like the world is spinning
What are associated features to ask for with migraine?
Aura - visual, speech, sensory, hearing changes
What is dysaesthesia?
All positive sensory changes, whether due to a stimulus or not
What pattern of distribution can sensory disturbance present with?
Glove and stocking
Peripheral nerve distribution
What are the 3 types of syncope that we must be aware of?
What are the associated features to ask about for dizziness?
Relation to posture
What are some way the quality of a sensory disturbance can be described?
Pins + needles
How does the site of pain differ between TTH and migraine?
Migraine is typically unilateral
TTH usually bilateral and may be described as band-like
What are some aggravating factors for cognitive impairment?
Being in a different setting eg outside the home
Evening vs day time
What are the two main types of headache?
What are the 4 different types of dizziness?
What are some associated features of cognitive impairment?
Dyarthria (muscle control problem)
Dysphonia (vocal cord control problem)
Changes in executive function
What is the difference between hyperalgesia and hyperaesthesia?
Hyperalgesia is heightened response to a noxious stimulus while hyperaesthesia is increased in sensitivity to any stimulus
What are some possible associated features for muscle weakness?
Pain in muscles
How is severity determined with cognitive impairment?
How much it effects their daily lives
- eg cooking, shopping eg
What is a possible associated feature of TTH?
Mild muscle tenderness
What is paraesthesia?
Abnormal sensation perceived without an abnormal stimulus
What are some associated features of sensory disturbance?
What is the onset of migraine like?
Gradual with crescendo pattern
How can you determine the severity of muscle weakness?
Ask them how it effects specific daily activities
- eg brushing hair
What are some key differentiating features of seizures cf to other syncopes?
Usually 1-2 minutes (cf
Cry or moan at onset
Frothing at mouth
Incontinence of urine
May feel exhausted and sleepy
What is the TC of TTH like?
Waxes and wanes
What are some causes of muscle weakness that have sudden onset?