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Neurology Review: Approach to Neurological Presentations

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Neurology Review: Approach to Neurological Presentations

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Questions and Answers

What is the FIRST step in the approach to neurological presentations?

Describe the onset

Summarize to narrow your differential diagnosis

List associated symptoms

Localize (correct)

Which of the following is NOT a part of the approach to neurological presentations?

Describing the onset

Performing a physical exam

Listing associated symptoms (correct)

Summarizing to narrow the differential diagnosis

What action should be taken after localizing in the approach to neurological presentations?

Summarize to narrow the differential diagnosis

Describe the onset (correct)

Perform a physical exam

List associated symptoms

Which of the following is an important aspect of a neurological physical exam?

Checking reflexes and motor function Signup and view all the answers

What is the purpose of summarizing to narrow the differential diagnosis in neurological presentations?

To limit the potential conditions Signup and view all the answers

In the given case, what is the most likely diagnosis for the 24-year-old male with subacute onset of left leg weakness, tightness, numbness, and urinary hesitancy?

Multiple sclerosis Signup and view all the answers

What symptom does the patient NOT have?

Swallowing difficulties Signup and view all the answers

Which of the following is the most likely localization of the patient's symptoms?

Cord Signup and view all the answers

What type of bladder symptom is expected in this patient?

Symptoms of hesitancy (troubles with initiation) and incomplete emptying Signup and view all the answers

What is the most appropriate next step in this patient's care?

Order outpatient MRI brain and cord and tell her to return if symptoms worsen Signup and view all the answers

What symptom does the patient report as starting approximately 2 days ago?

Numbness from the waist down Signup and view all the answers

Which of the following is NOT a common symptom of a cord localization?