1. Neurological History
Simon Mung

2. Overview

PC

HPC

PMH

Dhx – dizziness and headache

Fhx

Shx

FASTWICE
− Family, alcohol, smoke, travel, work, ideas, concerns,
expectations

3. History – Neurology

What do you mean by: dizziness, fit, migraine,
vertigo

Headache: SOCRATES

Surely varying headaches should not be new
wacko (SVHSNBNW)

Seizure, vomiting, headache, sight (and other
senses, photophobia), nausea, behaviour,
numbness, weakness

4. Headache

For how long?

S: Generalised or focal?

O: Acute or chronic? Intermittent or constant? If
chronic – getting worse?

C: Throbbing? Band around the head?

R

A: SVHSNBNW especially migraines (aura)

T: Lasts for how long?

E: Cough/worse in the morning? Relieving factors

S: Lose consciousness? Ever had to take time off
work? Severity scale

5. Differentials

6. Acute conditions
Meningitis SAH
Headache
Neck stiffness
Photophobia
Fever
Rash
Headache
Neck stiffness
Photophobia
LOC

7. Faint

Low in...

Glucose - DM

Cardiac output – Heart (syncope)

Brain... - Epilepsy

8. Seizure

Before: Stimuli? Witness? Aura? (Visual
changes – photophobia, scotoma)

During: LOC? If so, for how long? Pallor? Eyes
rolled back? Tongue-biting? Urinary
incontinence?

After: Confusion? How long it took to be back to
normal

9. v0y50@students.keele.ac.uk

10. v0y50@students.keele.ac.uk