| 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 |
