Lesson 1Associated systemic an' prodromal features: headache type, aura features, syncope signs, confusion, an' involuntary movementsDis section examine associated systemic an' prodromal features, includin' headache type, aura, syncope signs, confusion, an' involuntary movements, an' how dese clues help distinguish migraine, seizure, TIA, an' functional events, crucial fi local doctors.
Characterizin' headache quality an' red flagsVisual, sensory, an' language aura phenomenaPresyncope, autonomic signs, an' true syncopePostictal confusion, fatigue, an' amnesiaInvoluntary movements an' motor phenomenologyLesson 2Key symptom inquiries: laterality, sequence, evolution, duration, associated visual/sensory signs, an' impaired awarenessDis section cover key symptom inquiries fi transient neurological complaints, includin' laterality, sequence, evolution, duration, visual an' sensory signs, an' impaired awareness, an' how dese features guide localization an' etiology in clinical settin'.
Laterality an' body distribution of deficitsSymptom sequence an' orderly spread patternsSymptom evolution, fluctuation, an' resolutionVisual field, diplopia, an' cortical visual signsSensory change, neglect, an' impaired awarenessLesson 3How to document an' phrase questions to elicit precise temporal details fi transient neurological eventsDis section teach how to phrase questions an' document answers to obtain precise temporal details fi transient neurological events, usin' patient-friendly language, timelines, an' diagrams dat support diagnostic reasonin' an' handover in busy clinics.
Usin' anchorin' events to time symptom onsetClarifyin' duration wid concrete time intervalsSequencin' symptoms wid stepwise questionin'Employin' sketches an' body maps in historyStructured note templates fi transient eventsLesson 4Past medical an' medication history relevant to cerebrovascular an' seizure risk (hypertension, anticoagulants, oral contraceptives, illicit drugs)Dis section review past medical an' medication history elements dat modify cerebrovascular an' seizure risk, includin' hypertension, diabetes, anticoagulants, hormones, an' illicit drugs, an' how to link dem to mechanism an' prognosis fi better care.
Vascular risk factors an' small vessel diseaseAnticoagulants, antiplatelets, an' bleedin' riskHormonal therapy, pregnancy, an' thrombosis riskSeizure thresholds, psychotropics, an' interactionsIllicit substances an' reversible vasculopathiesLesson 5Triggers an' context: exertion, posture change, Valsalva, sleep, medication, recent procedures or traumaDis section explain how exertion, posture, Valsalva, sleep, medications, an' recent procedures or trauma can trigger or modify neurological symptoms, an' how to question patients systematically to clarify dese contextual factors in assessment.
Exertional onset an' effort-related symptom patternsPostural change, orthostatic symptoms, an' collapseValsalva maneuvers an' pressure-related phenomenaSleep, awakenin', an' circadian symptom patternsMedication changes, procedures, an' recent traumaLesson 6Red flags an' safety screenin': features suggestin' imminent stroke, ongoin' instability, or life‑threatenin' mimicsDis section focus on red flag symptoms an' patterns dat suggest stroke, ongoin' instability, or life-threatenin' mimics, teachin' structured screenin' questions an' rapid risk stratification to guide urgent imagi'n, referral, an' monitorin' in emergencies.
Sudden focal deficits an' stroke warnin' signsThunderclap headache an' subarachnoid concernsNeck pain, trauma, an' cervical artery dissectionInfection, fever, an' central nervous system sepsisCardiac symptoms, syncope, an' hemodynamic riskLesson 7Family, social, an' lifestyle history: smoki'n, alcohol, illicit drugs, recent travel, an' occupational exposuresDis section detail how family, social, an' lifestyle history influence cerebrovascular an' seizure risk, includin' smoki'n, alcohol, drugs, travel, an' occupational exposures, an' how to obtain sensitive information respectfully an' accurately from patients.
Documentin' family history of stroke an' epilepsySmoki'n, alcohol, an' cardiovascular risk profilin'Illicit drugs an' toxin-related neurological syndromesRecent travel, infections, an' endemic exposuresOccupational hazards, solvents, an' heavy metalsLesson 8Structure of a focused neurological history: onset, timin', progression, an' resolution of transient eventsDis section outline de structure of a focused neurological history fi transient events, emphasizin' onset, timin', progression, an' resolution, an' how to build a coherent narrative dat distinguish vascular, epileptic, an' mimicki'n conditions effectively.
Clarifyin' exact symptom onset an' first noticeCapturin' temporal pattern an' event frequencyDescribin' progression, spread, an' peak severityDocumentin' resolution, residuals, an' recurrenceDifferentiating single events from chronic patterns
