Patient Demographic
Neurologic condition with a common demographic of female, age 20-40 years old
What is Multiple Sclerosis
Resting tremor is the first sxs in 70% of patients with this condition
What is Parkinson's Disease
When taken for dizziness, this may interfere with BPPV testing
What is Meclizine
One episode of neurological symptoms that lasts at least 24 hrs with complete or partial recovery that may or may not go on to develop MS
What is Clinically Isolated Syndrome (CIS)
When all BPPV testing is negative with a patient who has dizziness with positional changes this is assessed next
What is orthostatic hypotension
Common demographic for this neurologic condition is early to mid 60's of unknown etiology
What is Parkinson's Disease
A central problem may be indicated if on a Convergence test pt sees double around this distance away from their face
What is 3-4 inches
The time frame following an ischemic stroke that a pt has to receive tPA(tissue plasminogen activator) to break up clots
What is < 3 hrs
One of the most famous celebrities that has M.S.
Who is Selma Blair
The neurologic disorder that presents like Parkinson’s with symptoms such as difficulty rising from a chair, tenous gait, and changes in speech but begins to have issues looking up and down
What is Progressive Supranuclear Palsy
This positioning on the map of all continents may decrease your chances of developing MS
What is the equator
The artery when affected in a stroke that causes the pt to have more UE symptoms than LE
What is superior MCA
Main medication used in MS
What is Methapredozone?
For PT treatment precautions this is the level permissive HTN can be if tPA was administered
What is 180/110
The main difference between Compensated Unilateral Vestibular Hypofunction (UVH) and acute UVH
What is spontaneous nystagmus in the dark
How many dollars are in Chris’ brotein jar?
What is the limit does not exist
Optic neuritis is the first sxs for this common neurologic condition
What is MS?
The time frame after a meal that a patient is able to take their medication without the Levadopa transport being affected
What is 2 hours?
The harshest type of MS to have that progresses quickly
Primary progressive
Difference between Corticobasal Degeneration and Parkinson’s disease
What is apraxia of the affected limb
On the Wells’s Criteria score a patient having this clinical characteristic causes them to have -2 points for the likelihood of having a DVT which could lead to a thrombolytic stroke
What is a patient who has an alternative diagnosis at least as likely as DVT
BPPV that is upbeating, torsional with latency onset and fatigues
What is posterior canalithiasis BPPV
The initial dosage given to a pt prescribed carbidopa/levodopa
What is one half to one whole tablet, 3 times daily
The stage of Hoehn and Yahr classified as the pt having minimal bilateral involvement and unaffected balance
What is stage two?
These exams (4) and their findings will help assist clinicians in distinguishing the difference between a vertebrobasilar ischemic stroke and acute vertigo system issue
HINTS+
Head impulse:
Vestib: positive, has corrective saccade
Stroke: normal bilaterally
Nystagmus:
V: Unidirectional changing nystagmus
S: fast phase is direction changing
Skew:
V: normal
S: refixation when eyes covered
Loss of hearing:
V: no
S: yes