Neurocognitive FA Flashcards
Delirium + fever + photophobia + nuchal rigidity
Miningitis - do lumbar puncture
Delirium + hemiparesis
CVA or mass lesion
- do Head CT / Brain MRI
Delirium + tachycardia + tremor + thyromegaly
Thyrotoxicosis
- get free T4, T3, TSH
Cognitive impairment + cogwheel rigidity?
Lewi body disease
Parkinson’s
Cognitive impairment + tremor + Kayser-Fleischer rings + abnormal LFT’s
Wilson’s disease
- test for ceruloplasmin
Delirium + elevated BP + papilledema
Hypertensive encephalopathy
- get head CT / brain MRI
Cognitive impairment + stepwise increase in severity + focal neuro symptoms
Vascular disease
- get head CT / brain MRI
Delirium + dilated pupils + tachycardia
Drug intoxication
- get urine tox screen
Delirium + focal neurological signs/symptoms
CVA or mass lesion
- get head CT / brain MRI
Argyll Robertson Pupils, accommodation present, light response absent + diminished position and vibration sense
Neurosyphilis
- get CSF FTA-ABS
- get VDRL
Cognitive impairment + gait apraxia + urinary incontinence + dilated ventricles
Normal pressure hydrocephalus
- get brain MRI / head CT
Cognitive impairment + fatigue + cold intolerance + coarse hair + constipation
Hypothyroidism
- get free T4, TSH
Cognitive impairment + paresthesias + megaloblasts + diminished position and vibration sense
Vitamin B12 deficiency
- get serum B12
Detachment from self, outside observer of self
Depersonalization disorder
Inability to recall important personal info
Usually of traumatic or stressful nature
Dissociative amnesia
