Neurology History

Neurology History

1. Presenting complaint

   • Headache
     • location: unilateral/bilateral/occipital
     • character: throbbing/band like/ pulsatile/thunderclap
     • preceeded by an aura
     • Associated symptoms: photophobia, phonophobia, Nausea/vomiting
     • H/O Trauma
     • alarm features: neuro deficit,/ blindness/ worst headache
   • Seizure
     • Classification
       • Focal/generalised
       • Motor/non-motor(absence)
       • Loss of Consciousness
     • Duration
     • triggers: stress/lack of sleep/ lights/ trauma
     • Asssociated features: Eye rolling, frothiness, urinary incontinence, tonuge bitting
   • TIA/ Stroke
     • Onset & Duration
     • Symptoms
       • Weakness
         • site & symmetry
         • Sudden/ graduall
         • Persisted/ Resolved
       • Dysarthria
       • Ataxia
       • Vertigo
       • Dysphagia
     • H/O trauma
   • peripheral neuropathy
     • Site
     • Duration
     • Pattern : ascending/progressive
     • alleviating factors
     • associated symptoms: weakness/blindness
   • PMH
     • Epilepsy/seizure Disorder
     • Meningitis/Encephalistis
     • Head/spinal Injury
     • CVS risk factors: DLP, HTN, Afib
     • FMH
       • Inheritable Neuro conditions: Huntington's/Epilepsy
       • SOH
         • Smoking/alcohol
         • Caregiver at home
         • Home design (mobility concerns)
         • DH
           • OCP
           • Antiplatelets/anticoagulants
           • Anticonvulsants, anti-parkinsonian drugs
           • Recreational Drugs