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  • What is the likely diagnosis? A 27-year-old woman presents to her GP with a history of a severe headache. She reports that these headaches have occurred 4 times in the last 3 months and have...
    What is the likely diagnosis? A 27-year-old woman presents to her GP with a history of a severe headache. She reports that these headaches have occurred 4 times in the last 3 months and have...
    I am 13 years old, and this helps me alot with my independant study of neurology!!4.) Migrane

  • What is the likely diagnosis? A 13 year old boy presents with facial weakness. On examination he has paralysis of his facial muscles on the left hand side, including the left side of his forehead....
    What is the likely diagnosis? A 13 year old boy presents with facial weakness. On examination he has paralysis of his facial muscles on the left hand side, including the left side of his forehead....
    1. Bell s palsyWhen assessing facial weakness, it is important to establish if there is sparing of the muscles of the forehead. Control of the forehead muscles has bilateral upper motor neurone input, so an upper motor neurone lesion (unless it was bilateral) would spare, or partially spare, the forehead muscles as there is input from the contralateral side. A lower motor neurone lesion would not spare the forehead. Bells palsy is a unilateral lower motor neurone facial weakness.

  • What are the differences between a fixed battery approach and a process approach in terms of neuropsychology?
    What are the differences between a fixed battery approach and a process approach in terms of neuropsychology?
    A fixed battery approach to testing, such as the halstead-reitan neuropsychological test battery, utilizes a pre-determined set of tests in performing neuropsych assessments. this approach uses the exact same set of tests for each client, regardless of referral question. the advantages: abundance of research supporting such batteries, reliability of the subtests when used together, fact that this model is easy to train and administer, and utility of indices of functioning, which explain where the cutoff lies between impaired and not impaired. this model has several disadvantages: it only yields information about what the client can/cannot do (impaired vs. not impaired), not where in the process the breakdown occurs. it assumes that scores mean the same thing for every client. it also lacks a fluid, study component, and it deprives the assessor of the ability to help/test the clients limits. finally, because this model is so easily trainable, many people giving it rely on the scores to draw conclusions and lack the background knowledge to correctly interpret and diagnose based on testing.in contrast, a process approach to testing begins with a core battery in mind and is expanded or modified to suit the individual being tested. the assessor chooses the next step in testing based on what has come out of the tests already given. the strengths of this model: allows for flexibility, so the assessor can get at why, specifically, errors occur, not just that the patient can or cannot do a task, the patients limits can be tested, so the assessor can gather information useful in treatment planning allows collection of both qualitative and quantitative information creates an environment more conducive to rapport building eliminates tests which are not clinically usefuldisadvantages: tests were not normed together, so any conclusions drawn from their integration is strictly based on clinical judgment. this process requires stepping away from the standardized test approach, so the reliability and validity of the tests used are decreased. assumes that tests have a level of difficulty relationship to each other.

  • What action should you take first? A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient...
    What action should you take first? A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient...
    1. check the foley tubing for kinks or obstruction. -these signs and symptoms are characteristic of autonomic dysreflexia, a neurologic emergency that must be promptly treated to prevent a hypertensive stroke. the cause of this syndrome is noxious stimuli, most often a distended bladder or constipation, so checking for poor catheter drainage, bladder distention, or fecal impaction is the first action that should be taken. adjusting the room temperature may be helpful, since too cool a temperature in the room may contribute to the problem. tylenol will not decrease the autonomic dysreflexia that is causing the patients headache. notification of the physician may be necessary if nursing actions do not resolve symptoms. focus: prioritization

  • What is his GCS? A 32-year-old gentleman is brought into A&E by ambulance following a car accident. He has multiple injuries and is unresponsive. After his airway, breathing and circulation are...
    What is his GCS? A 32-year-old gentleman is brought into A&E by ambulance following a car accident. He has multiple injuries and is unresponsive. After his airway, breathing and circulation are...
    7, seven-the glasgow coma scale (gcs) was initially designed to assess level of consciousness following head injury, but is now more widely used and applied to all acute medical and trauma patients. it consists of 3 components; eye response (1-4 points), verbal response (1-5 points) and motor response (1-6 points), giving a total out of 15, where 3 is the minimum score and 15 the maximum score. the scale is as follows: eye - 1 = does not open 2 = opens in response to painful stimuli 3 = opens in response to voice 4 = opens eyes spontaneously verbal 1 = makes no sounds i 2 = incomprehensible sounds 3 = utters inappropriate words 4 = confused, disoriented 5 = oriented, converses normally motor response 1 = makes no movements 2 = extension to painful stimuli (decerebrate response) 3 = abnormal flexion to painful stimuli (decorticate response) 4 = flexion / withdrawal to painful stimuli 5 = localizes painful stimuli 6 = obeys commands from this it is apparent that an alert patient would have a gcs of 15. in the above scenario, the patients score can be calculated thus: e = 1, v = 2, m = 4 = total 7/15 as a general rule, patients with a gcs < 8 are unable to protect their own airway and would need intubation and monitoring on intensive care if this was deemed appropriate.

  • Which of the following represents the most likely approximate location of this lesion based on this examination? A 15-year-old boy is brought to the emergency department after an accident on...
    Which of the following represents the most likely approximate location of this lesion based on this examination? A 15-year-old boy is brought to the emergency department after an accident on...
    T10 on the left side

  • Which of the following are risk factors for stroke?
    Which of the following are risk factors for stroke?
    Hypotension can lead to a watershed infarct when the blood vessels between borders of the brain become ischaemic. This could lead to stroke so hypotension is thus a risk factor for stroke?!

  • What is the difference between Pons and Medulla?
    What is the difference between Pons and Medulla?
    Are you aware of what the pons and the medulla are? These are known to be parts that can be seen in the brain. The pons is located in between the midbrain and the medulla oblongata. This is responsible for sending signals to the brain coming from the cerebrum going to the medulla. The medulla, also known as medulla oblongata, is responsible for the things that we do not have to consciously do such as breathing, digesting the food that we eat, and so much more. This will make sure that the respiratory and the circulatory systems of the body are working properly. The sensory and motor neurons may also travel through the medulla.

  • What is the likely diagnosis? A 68 year old woman presents with double vision. On examination she has a ptosis of her left eye and when her eyelid is raised the eye is pointing inferiorly and...
    What is the likely diagnosis? A 68 year old woman presents with double vision. On examination she has a ptosis of her left eye and when her eyelid is raised the eye is pointing inferiorly and...
    Left 3rd nerve palsyHttp://en.wikipedia.org/wiki/Oculomotor_nerve_palsy

  • What happens during an action potential?
    What happens during an action potential?
    The molecular gates open to allow sodium ions into a neuron.

  • Does this CT brain scan show a left cerebral infarction?
    Does this CT brain scan show a left cerebral infarction?
    FalseThe CT in fact shows a haemorrhagic stroke in the left cerebral hemisphere. An acute bleed would show up white on a CT scan.

  • What part of the eye provides nutrients to the retina?
    What part of the eye provides nutrients to the retina?
    Choroid

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