GLASGOW coma scale
The Glascow coma scale is commonly used to measure the level of consciousness in case of a neurological insult
Continue readingCardinal Features of Stroke
Being able to identify the key symptoms of stroke allows one to be treated as soon as possible. Identifying it in someone, can help save their life. So Remember BE FAST and save a person having a stroke! Be a Hero!
Continue readingCLUSTER HEADACHE
Cluster headaches are more common in middle aged men, with a ratio of 2:1 In women, it is usually seen earlier in life (in their 20s) ASSOCIATED WITH 1. Depression 2. Asthma 3. History of migraines 4. Sleep apnea CLINICAL PRESENTATION The diagnosis is clinical 1. Unilateral, recurrent periorbital pain that lasts from 15 min upto 3 hours 2. Usually at night time 3. Ipsilateral injection, lacrimation and nasal congestion 4. Neurological exam is normal PATHOPHYSIOLOGY Posterior hypothalamus activation > increased parasympathetic outflow The lacrimation, redness and congestion is due to parasympathetic hyperactivity The ptosis and ...
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Evidence based approach to diagnosing Migraines
The pretest probability of a patient presenting to a PCP with a complain of headache to be migraine is 6-15%. A meta analysis identified nausea, photophobia, phonophobia and exacerbation with physical activity to be best individual symptoms for ruling in or out migraine. The best predictor was nausea. Headache with nausea = increases likelihood of headache being migraine to 90% 5 Item ...
Continue readingGlascow Coma Scale
Glascow Coma scale is a neurological scale which aims to give a reliable and objective way of assessing the level of consciousness of a person
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Winged Scapula
WINGING OF THE SCAPULA It is paralysis of the serratus anterior muscle due to injury to the long thoracic nerve resulting in the medial winging of the scapula. Most cases resolve spontaneously. Most factors that result in this condition are due to trauma, idiopathic or iatrogenic causes. References: 1. Current Reviews ...
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