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CSB335 Neurological - Coggle Diagram

- - - - types
        
        generalised
        
        types
        
        absence - loss of consciousness less than 10secs with no post-ictal
        
        atonic - sudden loss of muscle tone and sudden fall
        
        tonic - increased muscle tone in sleep
        
        myoclonic - jerking of muscle group
        
        tonic clonic - abrupt LOC -> tonic phase involuntary muscle contractions, clonic phase symmetrical jerking movements, 1-3 mins with post-ictal
        
        focal
        
        dyscognitive
        
        difference in different lobes
        
        provoked
        
        PNES
      - management
        
        drugs
        
        midazolam
        
        active seizure or not?
        
        yes
        
        protect from injury
        
        midazolam
        
        o2
        
        ippv
        
        no
        
        reversible causes
        
        posturing
        
        o2
        
        PNES?
      - assessment
        
        how to tell between seizure and daydreaming?
      - define
        
        seizure
        
        convulsion
        
        epilepsy
        
        SUDEP
        
        status epilepticus
        
        complications
        
        neuro
        
        respiratory
        
        metabolic
        
        prolonged seizure over 5mins or consecutive episodes with no recovery in between
      - differentials
        
        SICKDRIFTER
      - threshold factors
        
        light
        
        sleep
        
        emotion
        
        fever
        
        drugs
      - stages
        
        pre-ictal
        
        ictal
        
        post-icatal
- - - - LOC
        
        commands
        
        gaze
        
        visual field
        
        facial palsy
        
        motor arm
        
        dysarthria
        
        neglect
    - - 0 -3 = able to walk on own
        4 - 5 = require assistance to walk
    - - faster definitive treatment - thrombolysis (4.5hr window) and endovascular clot retrieval
  - - - vasoconstriction
      - platelet plug
        
        aspirin affects this
      - coagulation
  - - - TIA, hypertension, cholesterol, smoking and alcohol, sendentary
  - - - embolic
        
        gas, fat, thrombosis, vascular stasis, amniotic fluid
      - thrombotic
        
        formed around bifurcation of cerebral arteries
      - location
        
        small vessel
        
        large vessel - more severe
    - - intracerebral (15%)
        
        mostly Asian descent
      - SAH (5%)
        
        headache, vomitting, neurologic symptoms
- - - - responsible for relaying info - quiet during sleep
    - - temporal
        
        amygdala
        
        hippocampus
  - - - frontal
        
        cognitive, motor skills
      - parietal
        
        touch, pain and pressure
      - temporal
        
        auditory
      - occipital
        
        visual
- - - - motion sickness relationship
      - hormones in pregnancy
      - definition
      - family history
      - clinical signs
        
        preceded by aura, unilateral throbbing, nausea