Neurological Disorders.

Neurological Disorders.A patient with cluster head aches: - answershould eliminate triggers like nicotine and alcohol An elderly patient has an audible carotid bruit. He has a history of hypertension Hyperlipidemia and and MI 5 years ago. The finding of a bruit indicates that the patient: - answeris more likely to die from cardiovascular disease than cerebrovascular disease Mini mental status exam helps identify patients who have symptoms of - answercognitive impairment A 26 year old patient with a long history of chronic sinusitis presents today with temperature of 103.2F, headache and stiff neck. Which finding below should make the NP suspect meningitis? - answerPositive Kerning and Brudinski fever nucal rigidity headaches and altered mental status characterize acute bacterial meningitis. 84 year old with advanced dementia symptoms. What is NOT in the differential? Tumor Cerebral Hemorrhage Cerebral Infarct Normal aging process - answerChanges in cognition are NOT associated with the aging process although 50% of patients over 90 have some form of dementia. All patients should have some type of imaging done to rule out tumor infection hemorrhage infarct, ect. Experts are unable to agree on which studies are the most valuable.