Blog Archives

MS – TN 2014

A chronic inflammatory dz of CNS characterized by relapsing remitting, or progressive neurologic symptoms due to inflammation, demyelination and axonal degeneration Clinical features Relapsing remitting (RRMS) 85% (0.4-0.6 relapses /yr, highest in the 1st year) – most go on to

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Posted in FM 99 priority topics, Neuro

Dizziness – AAFP 2010

Non-vertiginous dizziness: Syncope Sudden transient LOC due to global cerebral HoTN Cardiac arrhythmias, AS, vasovagal, orthostatic HoTN, hyperventilation, metabolic causes (HoTN, med S/E, caffeine, nicotine) High mortality / Morbidity: CVA, AS, arrhythmias, high ICP If CPR or cardioversion required, then

Posted in 29 Dizziness, 99 Priority Topics, FM 99 priority topics, Neuro

Meningitis – CID 2004

Meningitis: Inflammation of the meninges surrounding the brain & spinal cord Peak age: 6-12 mo, 90% <5yr Common Organisms 0-4wk: GBS, E Coli, Listeria monocytogenes, Klebsiella 1-23mo: GBS, E Coli, S. Pneumo, N. Meningitidis, H. Influenzae >2yr: S. Pneumo, N.

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Posted in 62 Meningitis, 99 Priority Topics, FM 99 priority topics, Neuro

Headache – AAFP 2013

International Classification of Headache Disorders, 2nd ed. (ICHD-2) Primary: Tension-type Migraine Cluster Other: cold-stimulus headache, exertional, cervical OA, TMJ syndrome Secondary: Head or neck trauma: SAH, ICH Cranial or cervical vascular disorder: stroke, venous sinus thrombosis Nonvascular intracranial disorder: increased ICP

Posted in 44 Headache, 99 Priority Topics, FM 99 priority topics, Neuro

Stroke – Canadian Stroke Best Practice Guideline 2010

Stroke Sudden onset of neurological deficits (focal, lasting >24hr) of a vascular basis with infarction (permanent tissue injury) of CNS tissue – can be confirmed by neuroimaging Not an evolving neuro deficit over several days Hemorrhagic stroke ~20% & ischemic

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Posted in 88 Stroke, 99 Priority Topics, FM 99 priority topics, Neuro

Parkinsonism – Canadian Guideline 2012

Parkinson’s Dz: Extra Pyramidal Syndrome Key Features: TRAP Tremor: asymmetric 3-5hz “pill-rolling” resting or postural tremor, especially in hands Tremor ↓ with movement Rigidity: lead-piperegidity with cogwheeling due to superimposed tremor Thoughtout the whole ROM, the rigidity affects both flexor and extensors

Posted in 71 Parkinsonism, 99 Priority Topics, FM 99 priority topics, Neuro

Seizure – CMAJ 2003

Seizure:  Transient neurological dysfunction caused by xs activity of cortical neurons, resulting in paroxysmal alteration of behaviour &/or EEG changes Epilepsy: Chronic condition characterized by ≥ 2 unprovoked Sz Status Epilepticus: Unremitting Sz >5min or successive Sz w/o return to

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Posted in 81 Seizures, 99 Priority Topics, FM 99 priority topics, Neuro

Cognitive Impairment – AFP2011

1 In patients with early, non-specific signs of cognitive impairment: a) Suspect dementia as a diagnosis. b) Use the Mini-Mental State Examination and other measures of impaired cognitive function, as well as a careful history and physical examination, to make

Posted in 23 Dementia, 99 Priority Topics, FM 99 priority topics, Neuro
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