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PBL-2 NEUROSCIENCE. Dr. Abdulrahman AL- Shudifat Neurosurgery Dept. Faculty of Medicine University Of Jordan. Case Scinario. A 57 year old female patient Complaining of Right sided hemi paresis .Duration .Progression .Distribution .Risk factors .Associated symptoms.
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PBL-2NEUROSCIENCE Dr. Abdulrahman AL-Shudifat Neurosurgery Dept. Faculty of Medicine University Of Jordan
Case Scinario • A 57 year old female patient Complaining of Right sided hemi paresis .Duration .Progression .Distribution .Risk factors .Associated symptoms
Pathophysiology • Weakness means loss of power: Neuronal Muscular Functional • Paresis Vs Plegia • Upper motor neuron Vs Lower motor neuron
Remember… You look for diagnosis!!!!! Diagnosis will lead to…. MANAGEMENT & PROGNOSIS WHAT DO I NEED FOR DIAGNOSIS????
STEPS….. .Knowledge .Clinical history .Clinical examination .Investigation .Diagnosis or Differential diagnosis .Management
Clinical History • Age Pediatric,Young,Elderly • Gender Male,Female • Duration Acute,Chronic
Physical Examination • General Examination Rule out systemic disease • Neurological Examination Rule out other neurological deficits for localization
Investigation • Lab test • Radiological( X-ray, CT ,MRI ,Angiogram ) • Specific neurological Investigations
Management • Acute: -Medical -Interventional • Chronic: -Medical -Multidisplinary team