Neurological history taking Flashcards Preview

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Flashcards in Neurological history taking Deck (12):
1

what can you observe during a neuro history taking

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

2

how can you assess cognitive function

mini mental state examination
abbreviated mental test

3

what are some common neurological presentations

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

4

what could cause a collapse

cardiovascular, endocrine or neurological

5

what questions can you ask about a collapse

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

what can you ask about weakness

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

7

what about walking

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

8

Allodynia

increased sensitisation to pain

9

what are some activities of daily living

transfering
eating
bathing
dressing
toiletting
walking/ moving

10

what should you ask about drugs

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

11

what should you ask in the systems enquiry

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

recent infection

family hx

12

what are the cranial nerve screening questions

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