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9 Cards in this Set
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Neurological symptoms |
Cognitive symptoms, memory impairment. Headache. Loss of awareness. Loss of consciousness. Alteration of perception, including deja vu. Dizziness, vertigo. Loss of balance. Falls. Loss of sense of smell. Loss of sense of taste. Loss of vision. Positive visual symptoms. Double vision. Oscillopia. Deafness. Tinnitus. Difficulty with speech. Difficulty swallowing. Weakness. Abnormal movement of muscles (cramps, fasciculation). Abnormal movement of parts of the body (tremor, dystonia, myoclonus). Clumsiness. Impairment of control of limbs Altered sensation. Loss of sensation. Pain. Symptoms of postural hypotension. Impairment of sexual function. Impairment of bladder control. Impairment of bowel control. |
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What is oscillopia |
A visual sensation of stationary objects swaying back and forth |
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What is vertigo |
A hallucination of movement |
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Take a history of a headache |
1. Onset, duration 2. Region/location: focal (retro orbital, frontal, occipital), unilateral, generalized 3. Temporal aspects: >50% of days; attacks of hours/days; attacks of up to 1 hour; many attacks, lasting minutes; attacks of seconds; worse on waking; new, acute/subacute onset; explosive onset, severe 4. Character & severity: tight band around the head, bland features, not very severe; throbbing, moderately severe; extremely severe, constant; severe, stabbing, lancinating 5. Provoking/relieving factors: provoked by alcohol; occur at night, start in sleep; relieved by sleep; triggered by touching or moving the face; caused by cough; exertion; orgasm 6. Associated symptoms: nausea, vomiting, photophobia, phonophobia; migraine aura (visual, sensory); neck stiffness, photophobia, vomiting, symptoms of fever; tear production Ipsilateral to a unilateral headache; Ipsilateral conjuctival injection; visual obscurations; persistent focal Neurological symptoms 7. General health: indications of systemic Neoplasia; polymyalgia & weight loss |
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Features of trigeminal neuralgia headache |
Attacks of seconds Severe, stabbing, lancinating in character Triggered by touching or moving the face |
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Features of trigeminal neuralgia headache |
Attacks of seconds Severe, stabbing, lancinating in character Triggered by touching or moving the face |
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Features of migraine headache |
Retro-orbital, occipital, unilateral or generalized Attacks of hours/days Throbbing, moderately severe Occur at night, start in sleep Relieved by sleep Worsens on exertion Nausea, vomiting, photophobia, phonophobia Aura Tear production Ipsilateral to a unilateral headache |
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Vertigo indicates disorder of |
One or both labyrinths, vestibular nerves, vestibular nuclei in the brain stem, or rarely, the cerebrum |
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Cranial nerve examination - olfactory nerve |
Identification of smells; each nostril examined separately. |
