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11 terms

Neuro Mnemonics

FC from my neurology clerkship
STUDY
PLAY
Altered Mental Status
I WATCH DEATH

Infection
Withdrawal
Acute metabolic
Trauma
CNS pathology
Hypoxia

Deficiencies
Endocrinopathies
Acute vascular
Toxins
Heavy metals
Types of Ataxia
Can't Stand Very Well

Cerebellar
Sensory
Vestibular
Weakness
Acute Ataxia
UNABLE TO STAND

Underlying weakness
Nutritional deficiency (vit B12)
Arteritis/vasculitis
Basilar migraine
Labrynthitis
Encephalitis/infection

Trauma (post-concussive)
Other (rare metabolic, genetic)

Stroke
Toxins (drugs, toluene, mercury)
Alcohol
Neoplasm
Demyelination (Miller Fisher, Guillain Barre, MS)
Chronic Ataxia
CAN'T STAND

Congenital (Chiari
Autosomal recessive
Nutritional deficiencies
Trauma (post concussive)

Stroke sequelae
Toxins (drugs, toluene, alcohol)
Autosomal dominant
Neoplasm/paraneoplastic syndromes)
Demyelinating (MS)
What is a postive Romberg sign? What does it indicate?
The inability to balance with eyes closed. It indicates problems with proprioception.
Cerebellar vs. sensory ataxia
See more dysdiadochokinesia and dysmetria with cerebellar. Also hypotonia. Unilateral suggests a focal lesion, bilateral is more likely due to diffuse causes
(drug, alcohol, paraneoplastic)

See more sensory, proprioceptive, and vibratory deficits with sensory.
(Vit B12 def, tabes dorsalis)
Metabolic diseases presenting with recurrent or progressive ataxias
maple syrup urine disease,
Ataxia telangiectasia
Friedreich ataxia
Autosomal dominant forms of ataxia
von Hippel-Lindau
olivopontocerebellar atrophy
Machado-Joseph
Weakness Mnemonic
G, I'M LIMP, CAN'T STAND

Guillain-Barre

Iatrogenic (paralytics, aminoglycosides, steroids)
Myopathy/myositis

Lou Gehrig's disease (ALS, motor neuron disease, usually gradual)
Infection (Polio, botulism)
Myelopathy (acute)
Periodic paralysis, porphyria, paraproteinemia

Cushing's
Arteritis/vasculitis/stroke
Neoplastic(meningitis, paraneoplastic)
Toxins (lead, arsenic, pufferfish, tick paralysis)

Systemic illness (anemia)
Thyroid
Addison's
Neuromuscular junction disease
Diabetic amyotrophy
Seizure
I CONVULSE BIG TIME

Infection

Cocaine/drugs
Oxygen lack/ischemia/hypoxia
Neoplasm
Vascular malformation
Uremia
Lytes (hypoNa, hypoMg, hypoCa)
Sinus thrombosis
Ethanol withdrawal

Bleed/hemorrhage
Idiopathic
Glucose lack/hypoglycemia

Trauma
Inborn error of metabolism
Medications
Eclampsia
Things to include in the history-taking of a seizure
premonitory symptoms
focal motor activity during the sz
was the motor activity rhythmic and synchronous
the presence and direction of eye deviation
respiratory pattern
was he able to respond to verbal stimulus
bit tongue
incontinence
post ictal? for how long?