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…
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…
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…
3 categories Acute Diarrhea: presence of ≥ 3 loose, waterly stools within 24hr Dysentery: bloody diarrhea, visible blood and mucous present Persistent diarrhea: Episodes of diarrhea lasting >14 days Main symptoms Fever: common and associated with invasive pathogens Bloody stools: invasive…
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…
1 In a patient presenting with hepatitis symptoms and/or abnormal liver function tests, take a focused history to assist in establishing the etiology (e.g., new drugs, alcohol, blood or body fluid exposure, viral hepatitis). S/Sx: HAV: lasting 2mo, fulminant illness <1%, 70%…
Approach to Neck Pain Acute <6wk most common: “locked” after quickly rotating the neck is typical of acute torticollis or the “wry neck” phenomenon Sub-acute: 6 weeks to 6 months address yellow flags to reduce the transition to chronic neck…
Fatigue can be manifested as difficulty or inability initiating activity (perception of generalized weakness); reduced capacity maintaining activity (easy fatiguability); and difficulty with concentration, memory, and emotional stability (mental fatigue) Fatigue should be distinguished from somnolence, dyspnea, and muscle weakness…
Low Back Pain Acute <6wk, subacute 6-12wk, chronic >12wk Lifetime prevalence: 90% & 90% resolved in 6wk, <5% become chronic Peak prevalence: 45-60yo Most common cause of chronic disability in <45yo 1) In a patient with undefined acute low-back pain…
Anemia A decrease in RBC mass that can be detected by [Hb], hematocrit, and RBC count Adult males: Hb <130g/L or Hct <0.41 Adult female: Hb Hx: Anemia symptoms – fatigue, malaise, weakness, dyspnea, decreased exercise tolerance, palpitations, h/a, dizziness,…
Preparing for the CCFP Exam 2015 