Monday, February 26, 2024

LOEVA 21 NERVOUS SYSTEM

 MOTOR DISTURBANCES = motor disorders

PARALYSIS

-Can you use your arms and legs normally ?

Are you paralysed?

Did you have a stroke?=Have you had a stroke?

Do you have any muscle weakness?

 

Was the onset sudden ? or little by little ?

Did you lose consciousness ?

Is it less severe?

Is the paralysis getting any worse?

Prior to the paralysis, did you have

high temperature

or headaches

or loss of consciousness - did you faint?

or vomiting?


Do you have any difficulty

speaking

smiling, whistling, frowning, swallowing, chewing ?

No I have no difficulty speaking, no difficulty whistling...


Do you get any shaking of your limbs?

and does it happen when you rest; or when you try to reach something?

===Do your limbs shake?
And does it happen when you are resting; or when you try to reach for something?

 

 


LOSS OF CONSCIOUSNESS

Did you ever faint ,  pass out  or  lose consciousness ? 

==
Have you ever fainted, blacked out or lost consciousness?

Did you ever have epileptic fits? How old were you at the first seizure?

==Have you ever had epileptic seizures? How old were you when you had your first seizure?

Do they occur during sleep?


FITS AND CONVULSIONS=SEIZURES AND CONVULSIONS

Can you tell when the fits are going to happen?== Can you tell when the seizures will start?

Has anyone told you that before the attack...

=Has anyone told you that before the seizure ...

-you staggered around

-you were confused

--you made noises that could not be understood


Is the onset sudden or gradual?=Is the seizure sudden or gradual?

Do you become rigid?

Are convulsions present?=Are there convulsions?

During the fit, do you fall?

Have you ever hurt yourself?

Do you bite your tongue?

Do you micturate?

Do you soil yourself?

Do you see things that are not there?

Do you hear things that are not there?

Do you taste things that are not there?

Did you ever had a head injury ?=Have you ever had a head injury?


SENSORY DISTURBANCES

Do you have headaches?

Where does it hurt?

When did the pain start?  Did the pain start gradually or suddenly?

Is the pain severe? Type of pain, progression, end, duration, relieving or aggravating factors

Radiation

Asociated factors: do you feel sick?

Do you vomit?

Do you get visual symptoms?

Do you have a numbness? did you lose any cutaneous sensation?

Do you get any sensation of pins and needles in you limbs ?

 


DISTURBANCES OF THE SENSES==SENSORY DISTURBANCES

Is your eyesight good? do you wear glasses?=Do you have good vision? Do you wear glasses?

Do you have double vision?

Do you have blurred vision?

Can you hear normally?

Do you complain of any deafness?

Do you have a buzzing in you ears?==Do you complain of any ringing in your ears?

Do you have ringing in your ears?

Do you have trouble in smelling or in tasting?


BALANCE PROBLEMS

Do you complain of dizziness? =Do you complainof vertigo?

Do you feel like things are spinning around you?

Do you lose your balance when walking or standing?

Do you always fall on the same side?

Do you feel nauseous?

Do you feel like vomiting?

Do you vomit?

 

 

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