Neurology
Absent ankle jerks but extensor plantars - Sex can make the F*ing ankles Dorsiflex
Subacute combined degeneration of the cord
Conus Medullaris
Motor Neurone disease
Tabes dorsalis
Fredreich’s Ataxia
Diabetic neuropathy
Altered Mental State - AEIOU TIPS
Alcohol (drugs), Endocrine, Insulin, Opiates, Ureamia
Toxins / trauma / tumour, Infections, Psychosis / Porphyria, SOL / stroke / seizure / shock
Cerebellar signs - VANISH DDT
Vertigo, Ataxia, Nystagmus, Intention tremor, Slurred speech, Hypotonia
Dysdiadocokinesia, Dysmetria, Titubation
or - PINARDS
Past-pointing, Intention tremor, Nystagmus, Ataxia, Rebound, Dysdiad, Slurred Speech
Confusion - DIM FACES
Drugs / Dehydration, Infection, Metabolic / MI,
Fracture / Failure, Alcohol / Anaemia, CVA, Electrolyte disturbances, S.O.L.
Dystrophia Myotonica - BIG CHIPS
Balding (frontal), Intellectual impairment, Glucose intolerance
Cataracts / Cardiomyopathy, Handshake / Hyporeflexia, ↓IgG, Ptosis, Small gonads
Mononeuritis Multiplex - DRAW CLAPS
DM, RA, AIDS, Wegeners
Carcinomatosis / Churg-Strass, Leprosy, Amyloid, PAN, SLE
Multiple sclerosis- CURSED HIV
Cerebellar signs, UMNL, Retrobulbar neuritis, Spastic paraparesis, Euphoria
Dementia / Depression / Diplopia
Horners, Incontinence, Vertigo / Vomiting
Muscles supplied by Median Nerve - LOAF
Lumbricales, Opp pollicus, Abd pollicus, Flex pollicus brevis
Neuropathic Ulcers- TADS
Tabes Dorsalis, Alcohol, DM, Syringomyelia
Parkinsons PARKINSONS
Pill rolling, akinesia, rigidity, kyphosis, instability, neck titubation, shuffling gait,
occulogyric crisis, nose tap (glabellar), small writing
Peripheral neuropathy - DANG THE PAPIST
DM, Alcohol, Nutrition (B1, B2, B12), Guillian Barre
Trauma, Hereditary, Environmental (lead, drugs)
Paraneoplastic, Amyloid, Porphyria, Inflammatory, Syphilis, Tumours of nerves (HMSN)
Polyneuropathy- VITAMINS
Vit def / vasculitides, infection (TB, leprosy, syphillis, polio)
Toxins (amiodarone, antiseptics, INH, lead, metronidazole, phenytoin, vincristine)
Amyloid, Metabolic (alcohol, DM, ↑thyroid, porphyria, liver & renal failure),
Idiopathic / Inherited, Neoplasm, Systemic (SLE, PAN, multiple myeloma)
Pontine Haemorrhages 3Ps
Paralysis, Pin-point pupils, Pyrexia
Premature senile dementia - DEEP SHIT
Deficiency B12, Epilepsy, Endocrine (myxoedema), Parkinsonism
Syphilis (GPI), Huntingtons, Injury, Tumour
Proximal Myopathy - PD HEN
Polymyositis, Dermatomyositis, Hereditary Muscular Dystrophies,
Endocrine (DM, Cushings, Osteomalacia, Thyrotoxicosis - DM COT), Neuropathy
Pupils Small - HAPPY
Horners, Argyll-Robertson, Pontine haemorrhage, Pilocarpine, Happy (morphine)
Argyll Robertson SADE (accommodates but doesn’t react – c.f. prostitute)
Syphilis, Alcohol, DM, Encephalitis
Small muscle wasting MARS BAR
MND / Myopathies, Apical tumours, RA, Syringomyelia
Brachial Plexus injuries, Ageing, cervical Rib
Syncope - HEAD, HEART & VESS’LS
Hypoglycaemia / hypoxia, epilepsy, anxiety, drop attack (brain stem Dysfunction - TIA)
Heart attack, embolism, aortic obstruction (stenosis, myxoma, IHSS), rhythm, tachy - VT
Vasovagal, ectopic preg, situational (on the crapper), subclavian steal, low SVR (anaphylaxis,
shock, DIC), Sick sinus syndrome
Wernickes and Korsakoffs - CANON
Confusion, Ataxia, Nystagmus, Ocular palsy, Neuritis
Pes Cavus - Disease Can Shorten The Foot
DM
Charcot Marie Tooth
Syringomyelia
Tabes dorsalis
Fredreich’s Ataxia
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TQ
