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14 Cards in this Set
- Front
- Back
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LOC
Key hx |
preceding sx
context (exertion, postural, traumatic, stress) tongue biting/incontinence/convulsions post ictal confusion PE risk factors heart disease and risk factors etoh drugs |
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LOC
PE components |
Vitals (orthostatics)
CV + carotids Pulm + lower extremities Neuro exam |
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CC : LOC
26 yo M fall w/ LOC at work convulsions bit tongue, post ictal DDx: Work up: |
DDx: tonic clonic seizure, convulsive syncope, substance induced episode, hypoglycemia, pseudoseizure
Work up: EEG, Urine tox screen, electrolytes (glucose), MRI brain, CBC |
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cC: LOC
55 yo M falling after feeling dizzy/unsteady transient LOC HTN on numerous htn drugs ddx work up |
DDX: drug induced orthostatic hypotension, arrhythmia, syncope (vasovagal), TIA/CVA
Work up: CBC, electrolytes, EKG, CT head, echocardiogram |
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CC: LOC
65 yo M fell w/ loc for a few secons no warning recently with palpitations pmhx of CABG DDx: Work up |
DDx: Arrhythmia, valvular disease (AS), MI, syncope (vasovagal)
Work up: EKG/holter monitor, echocardiogram, troponins/ck-mb, CBC, electrolytes |
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CC: Numbness/Weakness
Key hx questions |
distribution of sx
progression pain (ha, neck, back) constitutional sx other neuro sx hx of dm, etoh, vascular disease |
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CC: numbness/weakness
key physical exam |
vitals, area of concern, extremities, full neuro exam
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CC: Numbness/weakness
68 yo M 20 minute slurred speech, facial droop, etc resolved completely hx htn, dm, smoker ddx work up |
ddx: TIA, CVA, hypoglycemia, complex partial seizure
work up: MRI head (DW images), carotid doppler, EKG, echocardiogram PT/PTT/INR, electrolytes (glucose), CBC, EEG |
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DDx: Numbness/weakness
68 yo M slurred speech, facial droop/numb, r hand weakness +babinski hx htn, dm, smoker ddx work up |
ddx: CVA, TIA, partial complex seizure w/ todds paralysis, intracranial mass
work up: MRI brain (w/ DW images), carotid doppler, ekg, echocardiogram, cBC, electrolytes, EEG |
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CC: numbness/weakness
33 yo F ascending loss of strength in LE x 2 weeks recent URI ddx work up |
DDx: Guianne Barre, MS, polymyositis, MG, peripheral neuropathy, vertebral canal mass
Work up: CBC, Electrolytes, CPK, LP- csf analysis, MRI brain/spine, EMG peripheral nerves, tensilon test |
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CC: weakness/numbness
30 yo F weakness, loss of sensation L leg started tat AM R eye pain, double vision electric shocks down spine with flexion ddx work up |
DDx: MS, CVA, conversion disorder, CNS tumor
Work up: MRI brain (flair and DW images needed), LP CSF analysis, CBC, electrolytes |
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CC: Numbness/Weakness
55 yo M tingling/numbness in hands and feet 2 month hx of DM, htn, alcoholism decreased soft touch, vibratory, position sense in feet ddx work up |
diabetic neuropathy
b12 deficiency alcoholic neuropathy neurosyphilis/tabes doralis work up: cbc, hgb a1c, electrolytes, glucose, VDRL/RPR, B12 level |
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CC: numbness/weakness
40 yo F occasional double vision/droopy eyelids at night, better in AM ddx work up |
DDx: MG, MS, horner syndrome, compression of CN III, IV, VI 2/2 intracranial mass
Work up: tensilon test, Ach receptor antibodies, CXR, Retinal evoked potential, MRI brain |
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CC: weakness/numbness
25 yo M hemiparesis after seizure, resolved in few hours ddx work up |
DDx: Todds paralysis, TIA, CVA, complicated migraine, malingering
Work up: EEG, MRI head, CBC, electrolytes, carotid doppler |
