Problem Solving in Clinical Neurology Flashcards Preview

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Flashcards in Problem Solving in Clinical Neurology Deck (10)
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1
Q

What does DAMN ITV stand for?

A
D - Degeneration
A - Anomalous
M - Metabolic
N - Neoplasia, nutritional 
I - Infectious, inflammatory, idiopathic
T - Toxic, trauma
V - Vascular
2
Q

What is the six finger rule in neurology?

A
  1. Localisation
  2. Signalment
  3. Onset
  4. Progression
  5. Symmetry
  6. Pain
3
Q

Give 3 examples of focal lesions in neurology…

A

neoplasia
intervertebral disc herniation
congenital malformation

4
Q

Give 3 examples of multifocal lesions in neurology…

A

Inflammation
Infection
Multifocal neoplasia e.g. lymphoma

5
Q

Give 2 examples of diffuse lesions in neurology…

A

Neurodegenerative

Metabolic

6
Q

What are the most important signalments in narrowing DDx in neurology

A

Species
Breed
Age
Sex

7
Q

What can symmetry of a lesion tell you about the probable aetiology in neurology?

A

Possible location
Metabolic often symmetrical
Asymmetrical brain lesions tend to circle

8
Q

Which part of the spine has no pain receptors?

A

The cord. It only transmits pain but does not feel it as it has no free nerve endings. The vertebrae, meninges, IVD and articular joints may feel pain however.

9
Q

What would you expect if you find pain on a spinal exam?

A

A lesion affecting the bone/joints/discs/meninges

10
Q

What could cause diffuse pain along the spine?

A

Meningitis/polyarthritis