Neurology Mnemonics
Neurologic Physical Exam |
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CNS MD
C erebellum and gait
N erves (CN II-XII)
S ensory exam
M otor
D TR (deep tendon reflexes)
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DDx of Delirium |
MAD HIVES
M etabolic (e.g. liver failure)
A lcohol withdrawal
D rug overdose
H ypoxia (e.g. COPD)
I nfection (e.g. UTI)
V ascular (e.g. CVA)
E pilepsy
S ub-dural hematoma
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DDx of Coma |
It's COMA
I nfection (e.g. meningitis or sepsis)
T rauma
S eizures
C VA (e.g. stroke)
O verdose (e.g. opioids)
M etabolic (e.g. hypoglycemia, hyponatremia)
A lcohol
|
Coma Cocktail |
TONS
T hiamine
O xygen
N aloxone
S ugar (e.g. D50W)
|
Glascow Coma Scale |
MOVE
M otor assessment
O pen eyes
V erbal assessment
E stimate the score
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Diagnosing Meningitis |
Don't MISS
M eningeal symptoms (e.g. Kernig and Brudzinski signs)
I ntracranial pressure increase
S eptic symptoms (e.g. fever, tachycardia)
S pinal fluid changes
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DDx of Meningitis Causes |
BAT
B acterial
A septic (e.g. viral)
T B
|
Absent Ankle Jerks but Intact Extensor Plantar Response |
Sex Can Make The F***ing ankles Dorsiflex
S ubacute combined degeneration of the cord
C onus Medullaris
M otor neuron disease
T abes dorsalis
F riedrich's Ataxia
D iabetic neuropathy
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Altered Mental State |
AEIOU TIPS
A lcohol
E ndocrine
I nsulin
O piates
U remia
T oxins/trauma/tumor
I nfections
P sychosis/porphyria
S OL/stroke/seizure/shock
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Cerebellar Signs |
VANISH DDT or PINARDS
V ertigo
A taxia
N ystagmus
I ntention tremor
S lurred speech
H ypotonia
D ysdiadochokinesia
D ysmetria
T itubation
or
P ast-pointing
I ntention tremor
N ystagmus
A taxia
R ebound
D ysdiad
S lurred speech
|
Confusion |
DIM FACES
D rugs
I nfection
M etabolic/MI
F racture
A lcohol
C VA
E lectrolyte disturbances
S .O.L.
|
Myotonic Muscular Dystrophy |
BIG CHIPS
B alding
I ntellectual impairment
G lucose intolerance
C ataracts/Cardiomyopathy
H andshake/hyporeflexia
I gG decreased
P tosis
S mall gonads
|
Mononeuritis Multiplex |
DRAW CLAPS
D M
R A
A IDS
W egeners
C arcinomatosis/Churg-Strauss
L eprosy
A myloid
PAN
S LE
|
Multiple Sclerosis |
CURSED HIV
C erebellar signs
U MN
R etrobulbar neuritis
S pastic paraparesis
E uphoria
D ementia/Depression/Diplopia
H orners
I ncontinence
V ertigo/vomiting
|
Muscles Supplied by Median Nerve |
LOAF
L umbricles
O pp. pollicus
A bd. pollicus
F lex. pollicus brevis
|
Neuropathic Ulcers |
TADS
T abes dorsalis
A lochol
D M
S yringomyelia
|
Parkinsons |
PARKINSONS
P ill rolling tremor
A kinesia
R igidity
K yphosis
I nstability
N eck titubation
S huffling gait
O cculogyric crisis
N ose tap (glabellar)
S mall writing
|
Peripheral Neuropathy |
DANG THE PAPIST
D M
A lcohol
N utrition (e.g. B1, B2, B6, B12)
G uillain Barre syndrome
T rauma
H ereditary (e.g. CMT)
E nvironmental (e.g. lead, drugs)
P araneoplastic
A myloid
P orphyria
I nflammatory
S yphillis
T umors of the nerves (HMSN)
|
Polyneuropathy |
VITAMINS
V itamin deficiency/vasculitides
I nfection (TB, leprosy, syphillis, polio)
T oxins (e.g. amiodarone, antiseptics, INH, lead, metronidazole, phenytoin, vincristine)
A myloid
M etabolic (e.g. EtOH, DM, hyperthyroid, porphyria, liver and renal failure)
I diopathic/inherited
N eoplasm
S ystemic (SLE, PAN, multplie myeloma)
|
Pontine Hemorrhages |
The 3Ps
P aralysis
P in-point pupils
P yrexia
|
Premature Senile Dementia |
DEEP SHIT
D eficiency B12
E pilepsy
E ndocrine
P arkinsonism
S yphilis (GPI)
H untingtons
I njury
T umor
|
Proximal Myopathy |
PD HEN
P olymyositis
D ermatomyositis
H ereditary muscular dystrophies
E ndocrine (e.g. DM, Cushings, Osteomalacia, Thyrotoxicosis)
N europathy
|
Small Muscle Wasting |
MARS BAR
M ND/myopathies
A pical tumors
R A
S yringomyelia
B rachial plexus injuries
A geing
R ib cervical
|
Syncope |
HEAD, HEART & VESS'LS
H ypoglycemia/hypoxia
E pilepsy
A nxiety
D rop attack (e.g. brain stem dysfunction, TIA)
H eart attack
E mbolism
A ortic obstruction (e.g. stenosis, myxoma, IHSS)
R hythm
T achy - VT
V asovagal
E ctopic pregnancy
S ituational (e.g. on the crapper)
S ublclavian steal
L ow SVR (e.g. anaphylaxis, shock, DIC)
S ick sinus syndrome
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Wernices and Korsakoffs |
CANON
C onfusion
A taxia
N ystagmus
O ccular palsy
N euritis
|
Pes Cavus |
Disease Can Shorten The Foot
D M
C harcot Marie Tooth (CMT)
S yringomyelia
T abes dorsalis
F riedrich's Ataxia
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