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15 Cards in this Set
- Front
- Back
Do you have any other problems with movement?
Do you have any trouble standing up from a chair? Do you have any trouble brushing your teeth or turning a door knob? |
What other ROS questions should you ask of a patient with resting tremor?
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Mental Status Screen
- Orientation, STM, speech, praxis Parallel gait and heel to toe + Romberg Cranial Nerves Motor and Sensory Screen Coordination Screen |
Describe the general neurological survey?
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Acute, Subacute, Chronic/Reccurent
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What are the three initial headache branch points?
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VS
Mental Status Exam HEENT Cranial Nerve Exam Motor and Sensory screen in arms and legs Coordination Screen |
What physical exam will you perform for the patient with chronic headache?
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Stiff Person Syndrome
Antibodies to glutamic acid decarboxylase which converts glutamic acid to GABA so this person does not have as much GABA in their gamma motor neuron as they should |
A patient presents with stiff legs and walks like Frankenstein. What is the etiology of the disease?
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Catatonia; person has a fear of movement
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A patient presents holding a pose for minutes at a time with no reaction to external stimuli. Diagnosis?
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Juvenile Huntington's Disease
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A young child presents with rigidity. What should you be on alert for?
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Wilson's Disease problem with copper incorporation
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A patient presents with resting and postural tremor.
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Wilson's Disease
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A patient presents with a chief complaint of difficulty with balance. They walk rigidly with their head up and if they run in to someone on the street they fall over easily. They have recently lost the ability to move their face. Diagnosis?
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Corticobasal Ganglionic Degeneration (alien hand syndrome)
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A patient presents with dementia, severe proprioceptive impairment that causes them to not recognize their own hand, and demonstrate stimulus-sensitive myoclonus.
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Dystonia
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A patient presents with hand cramping due to increased muscle tone. What type of hyperkinetic movement disorder is this?
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Chorea
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A patient presents with brisk, rapid, irregular jerking movements with distal predominance that seems to flow from one body part to another.
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Athetosis
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A patient presents with slow, writhing movements in their wrist and arms.
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Ballism due to STN
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A patient presents with an involuntary swinging movement.
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Myoclonus
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A patient presents with brief rapid muscle contractions that are like a shock.
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