Neurological history taking Flashcards Preview

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Flashcards in Neurological history taking Deck (12)
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1
Q

what can you observe during a neuro history taking

A
state of health 
mode of dress
age
eye contact
mood 
tics
education 
intelligence 
articulation
dysphasia
2
Q

how can you assess cognitive function

A

mini mental state examination

abbreviated mental test

3
Q

what are some common neurological presentations

A
altered cognitive ability 
fits, faints and funny turns
headache 
weakness 
movement disorders
numbness, sensory disorders
visual impairments
4
Q

what could cause a collapse

A

cardiovascular, endocrine or neurological

5
Q

what questions can you ask about a collapse

A
what was happening before
what factors might have lowered the seizure threshold 
what position where you in 
any prodromal symptoms 
what happened during and after?
did anyone witness it?
6
Q

what can you ask about weakness

A

fatigue/ muscle weakness
muscle or nerve problem?
what activities are difficult

7
Q

what about walking

A
has the distance changed
what makes you stop
what about hills
one leg or both 
sensory symptoms
8
Q

Allodynia

A

increased sensitisation to pain

9
Q

what are some activities of daily living

A
transfering 
eating 
bathing 
dressing 
toiletting 
walking/ moving
10
Q

what should you ask about drugs

A
compliant?
optimal?
could it cause the problem
any drug interactions
non prescribed drugs
alcohol
symptoms if you dont take drugs
11
Q

what should you ask in the systems enquiry

A

psychological/ depression
ANS - bladder, bowel, sexual, light headedness

recent infection

family hx

12
Q

what are the cranial nerve screening questions

A
change in sense of smell
vision changes
dry eyes/ mouth/ taste
hearing
diziness
change in voice
articulation