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Neurology Mnemonics

Neurologic Physical Exam
CNS MD

C erebellum and gait

N erves (CN II-XII)

S ensory exam

M otor

D TR (deep tendon reflexes)

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

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

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

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

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

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

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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