CHOREA
CHOREA: Excerpt from Differential Diagnosis in Primary Care
The causes of this symptom lend themselves easily to recall. Simply
remember the word VINDICATE. There are usually just one or two
diseases for each letter.
V—Vascular suggests an infarction of the subthalamic nucleus, which
produces hemiballism.
I—Inflammatory lesions suggest the various forms of viral
encephalitis.
N—Neoplasms of the brainstem include gliomas and metastatic
carcinoma.
D—Degenerative disease suggests Huntington chorea.
I—Intoxication suggests Wilson disease, phenothiazine, lead or
manganese toxicity, and carbon monoxide poisoning.
C—Congenital chorea suggests the chorea of cerebral palsy.
A—Autoimmune disease suggests the Sydenham chorea of rheumatic
fever.
T—Trauma suggests chorea from concussion, basilar skull fracture, or
intracerebral hematoma.
E—Endocrine and epilepsy suggest the possibility that the
chorea is related to an epileptic focus. The hyperkinesis of hyperthyroidism
sometimes stimulates chorea.
The workup of chorea is similar to the workup of tremor .
Book Source Details
- Book Title: Differential Diagnosis in Primary Care
- Author(s): R. Douglas Collins MD, FACP
- Year of Publication: 2007
- Copyright Details: Differential Diagnosis in Primary Care, Copyright © 2007 Lippincott Williams & Wilkins.
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- "In A Page: Pediatric Signs and Symptoms" (2007)
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- CHOREA
- "Differential Diagnosis in Primary Care" (2007)
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- Athetosis
- "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
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- "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
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- "Differential Diagnosis in Primary Care" (2007)
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Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.
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