Angela

[Angela @Angela09814010]

Key points for differential diagnosis:
Timeline
Compare key symptoms
Central or peripheral?
Narrow down location
List possible diagnoses
Check to see if diagnostic tests were done!
#Neuropath2020wk13 @juliehershberg

[Angela @Angela09814010]

With a suspected CNS neoplasm (medical hx, time course, positive SNOOP4 signs), key differential diagnostic tests include CT, MRI, CBC, and CSF studies! CT & MRI to help ID type, location, & treatment options. CBC & CSF to rule out infection!
#Neuropath2020wk12 @juliehershberg

[Angela @Angela09814010]

To image or not to image for TBI? 💁🏻‍♀️💀Look for the following red flags:
Weakness/tingling in extremities
Vomiting
Deteriorating conscious state
Increasing headache severity
Other focal neurologic signs
#Neuropath2020wk11 @manjiridahdul @juliehershberg

[Angela @Angela09814010]

If a patient with headache presents with SNOOPPPP signs, more snooping is in order🕵🏻‍♀️!

Systemic Sx
Neurologic Sx
Onset
Older
Previous Hx
Posture
Precipitated by exertion
Papilledema

We need to see if the headache is secondary in nature! @juliehershberg #Neuropath2020wk10

[Angela @Angela09814010]

3 Major Types of Stroke & Treatment:
CVA: ischemic (🩸❌➡️🧠)
- Break up clog!
- tPA within 3-4.5 hours is best!
IPH/ICH: 🩸within the 🧠
- 🛑 THE 🩸
SAH: 🩸vessel rupture in subarachnoid space
- Surgery
* for all, gotta control that BP!

#Neuropath2020wk9 @juliehershberg

[Angela @Angela09814010]

If a child avoids 👀 contact and doesn’t like engaging with others, it might be more than just shyness...repetitive movements, fixated interests, toe walking and insistence on fixed routines might indicate ASD!
#Neuropath2020wk8 @bmendonca_usc @juliehershberg

[Angela @Angela09814010]

What’s the 🔑 to IDing MS? CNS lesions disseminated in space and time:
🌌 - are the lesions in at least 2 different areas of the 🧠 or spinal cord?
🕰- are there lesions that occurred at least 1 month apart?
Remember: Rule out other conditions!
#Neuropath2020wk7 @juliehershberg

[Angela @Angela09814010]

There’s Parkinson’s Disease, and then there’s Atypical Parkinsonism Syndromes. Main differences?
Atypical has additional signs that typical PD won’t!
- UMN signs
- autonomic dysfunction
- early falls/cognitive symptoms
- cerebellum signs
@juliehershberg #Neuropath2020wk6

[Angela @Angela09814010]

To test for central vestibular involvement, look at the 👀:
+ tests for saccades, VOR cancellation, and abnormal smooth pursuit.
For peripheral, check for +HIT, ⬇️ calorics, and one sided hearing loss👂.
#Neuropath2020wk5 @juliehershberg @NoraDarak

[Angela @Angela09814010]

ASIA: Large continent or......American Spinal Injury Association! To classify SCI, gotta think about sensory/motor level, incomplete/complete. Incomplete? Check sensation and MMT results again :) Then it’s as easy as A B C D E!
#Neuropath2020wk4 @manjiridahdul @juliehershberg

[Angela @Angela09814010]

Focal to bilateral weakness (LE ⬆️ UE), stocking glove sensory changes, ⬇️ reflexes, diplopia, episodic time course (14 months). GB? Timeline too long. Diabetic neuropathy? Timeline too short/motor before sensory. CIDP? Just right! (+ CN III🤷🏻‍♀️). #Neuropath2020wk3 @juliehershberg

[Angela @Angela09814010]

When overwhelmed with differential diagnosis, answer the easy questions first to narrow down the options!
Ex. If a patient has sensory deficits, then you can rule out the category of LMN disorders 👍
#Neuropath2020wk2 @juliehershberg

[Angela @Angela09814010]

When confirming a neuro diagnosis, the puzzle pieces include: timeline ⏱, symptoms 😷—> lesion location (CNS vs PNS, motor/sensory/autonomic/other), patterns of loss of sensation or weakness, reflexes....so many thinks to think about! 🧠
#Neuropath2020wk1 @juliehershberg