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Flashcards in Neurology Deck (3)
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1
Q

Peripheral neuropathy - examination

A
  1. pressure sensation 10g monofilament pressure at big toe
  2. vibration using 128 hZ
  3. pin prick sensation
  4. ankle reflex
2
Q

Peripheral neuropathy - history and score

A
  1. unsteadiness in walking
  2. burning pain at feet at rest/night
  3. prickling/tingling sensation
  4. numbness

each question 1 point
score =>1 –> Peripheral neuropahty
treatment: amitriptyline

3
Q

TIA - recurrence assessment within 24 hours

A

ABCD2 score (like melanocytic skin screen)

  1. Age > 60 (1)
  2. BP > 140/90 (1)
  3. Clinical features
    a. unilateral weakness (2)
    b. slurred speech, no weakness (1)
  4. duration of TIA
    a. > 60 min (2)
    b. 10-59 min (1)
  5. Diabetes (1)

if high score —>

  • Aspirin 300mg
  • CT head
  • keep in hospital