Flashcards in Problem solving - neurology Deck (27):
Recall problem based clinical reasoning
1. define problem
2, define system
3. define location
4. define lesion
How to define the problem with collapse?
seizures of syncope?
Define 'can't eat properly'?
inability to prehend or swallow food
vomiting or regurgitation
Define 'wees a lot'
polyuric or pollakiuric
What is the 6 finger rule?
Localisation - hydrocephalus
Localisation - cerebellar abiotropy
Localisation - atlanto-axial subluxation
upper cervical spinal cord
Localisation - caudal cervical spondylomyelopathy
caudal cervical spinal cor
Localisatio - spinal nephroblastoma (uncommon)
spinal cord (thoracic - lumbar?_
Localisation - myasthenia gravis (MG)
Localisation -muscular dystrophy
Localisation -vincristine neuropathy
Outlien localisation -lesion distribution - 3
- FOCAL: neoplasia, IVDH, congenital malformation
- MULTIFOCAL: inflammatory, infection, multifocal neoplasia: lymphoma
- DIFFUSE: neurodegenerative, metabolic
What are the different onsets of (neuro) diseases
- acute on chronic
What are the different classifications of 'progression' of (neuro) diseases?
- waxing and waning
Are there pain receptors in the spinal cord?
List the 8 parts to the neuro exam
4. postural reactions
5. spinal reflexes
6. cranial nerves
What should you do if you suspect a focal lesion?
What should you do if you suspect infection/ inflammation?
Minimum database- CBC, biochem, UA
What are teh most important aspects of patient hx in neuro cases? 3
What are the most important things to determine on physical and neuro exam?
- presence of pain
Then choose diagnostic tests based on remaining ddx (the true rule outs)
What is the ddx based on? 6
What is mucopolsaccharidosis (MPS)?
- rare disease
- affects young animals
- pure bred
- multi-system involvement (can cause lameness)
Diagnosis - MPS
- urine MPS spot test: measures GAG
- enzyme activity of leukocytes (EDTA) and activity of arlysulfatase B activity