A talk on approaches to neurology patients.
Learning objectives:
What are the common neurology presentations?
How to do a neurology exam?
Further diagnostic methods for confirmation
Treatment protocols
CPD approved Gradscape Teaching series by Dr Nishma Patel on "Approach to Neurology"
Summary
Join Dr. Nishma Patel as she delves into "Approaches to Neurology: Common Presentations." Using practical case scenarios, she will educate you on how to diagnose and manage common neurological manifestations like severe headaches, identify emergency presentations, and differentiate between potentially life-threatening conditions. You'll also learn about acute management and prophylaxis of various neurological disorders. This engaging, interactive session is perfect for any medical professional seeking to sharpen their skills in neurology. Do not miss out on this opportunity to enhance diagnostic abilities and patient care.
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Description
Learning objectives
- Recognize the types of questions to ask during patient consultation to help diagnose neurological issues associated with headaches.
- Understand and identify the key symptoms associated with the most common neurological presentations such as migraines, subarachnoid haemorrhage, tension headache, temporal arteritis, and cluster headache.
- Identify emergency presentations in neurology based on case studies and be able to suggest appropriate management strategies.
- Explain the potential neurological complications associated with head trauma and other traumatic events, and understand their impacts on cognitive function over time.
- Demonstrate competence in conducting a brief, targeted neurological examination that can aid in diagnosis of commonly presenting neurological issues.
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Approaches to Neurology: Common Presentations Dr Nishma Patel With reference to slides by Dr Nichol (CEF), UCL Medical Society slides What type of symptoms should you ask about for a patient presenting with a headache?A 90-year-old lady presents to the emergency department with a severe right sided headache. On further questioning, the emergency department doctors find out that she also gets pain on chewing. On examination, there is no neurological deficit and visual fields are normal, however, there is right sided scalp tenderness. What is the most likely diagnosis? A. Migraine B. Subarachnoid Haemorrhage C. Tension Headache D. Temporal Arteritis E. Cluster Headache A 90-year-old lady presents to the emergency department with a severe right sided headache. On further questioning, the emergency department doctors find out that she also gets pain on chewing. On examination, there is no neurological deficit and visual fields are normal, however, there is right sided scalp tenderness. What is the most likely diagnosis? A. Migraine B. Subarachnoid Haemorrhage Which of these are C. Tension Headache emergency D. Temporal Arteritis presentations? E. Cluster Headache Giant cell arteritis: vasculitis of unknown cause, usually affects >50 year olds with peak incidence in the 70s Early recognition and treatment is important to reduce the risk of complications e.g. Urgent ophthalmology r/v!!! permanent vision lossAcute Management Prophylaxis Carbamazepine Carbamazepine Amitriptyline PregabalinPOP: progestogen-only pill!!!Topiramate should ONLY be prescribed to women of childbearing potential with a pregnancy prevention plan A 59-year-old man attends his GP with increasing mild confusion. This came on 2 weeks ago and has been getting progressively worse, both in his and his husband's opinion. His past medical history is significant for being in a road traffic collision 6 weeks prior. At the time, he was discharged from the emergency department with no injuries but did suffer a head injury. Since then, he reports no headache, nausea or changes in vision. On examination, there is no focal neurological deficit, an ocular examination is normal and a mental state exam is unremarkable. Which of the following is the most likely cause of this man's presentation? A. Diffuse Axonal Injury B. Extradural haematoma C. Intraventricular haemorrhage D. Subarachnoid haemorrhage E. Subdural haematoma A 59-year-old man attends his GP with increasing mild confusion. This came on 2 weeks ago and has been getting progressively worse, both in his and his husband's opinion. His past medical history is significant for being in a road traffic collision 6 weeks prior. At the time, he was discharged from the emergency department with no injuries but did suffer a head injury. Since then, he reports no headache, nausea or changes in vision. On examination, there is no focal neurological deficit, an ocular examination is normal and a mental state exam is unremarkable. Which of the following is the most likely cause of this man's presentation? A. Diffuse Axonal Injury B. Extradural haematoma C. Intraventricular haemorrhage D. Subarachnoid haemorrhage E. Subdural haematomaLarge carotid/MCA+ACA Carotid/ MCA+ACA Basal ganglia, internal Vertebrobasilar territories territories capsule, thalamus, pons territoryComponents of the 5 minute neurological examinationThank you!