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Neurological Examination

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Richard Brown
Richard Brown

The document provides guidance on performing a neurological examination to systematically evaluate patients for neurological abnormalities. It discusses evaluating the patient's conscious state, cognition, cranial nerves, motor system, sensory system, and extrapyramidal signs. The examination aims to detect any neurological abnormalities, localize them within the nervous system, and determine the specific lesion.

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Neurological examination Submitted to AskTheNeurologist.Com in 2008 http://www.asktheneurologist.com/Study-Neurology.html
3 questions of neurological diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why perform the neurological examination ,[object Object],[object Object]
Systematic approach to weakness e.g. bilateral leg weakness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Basic Plan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DON’T DO EVERYTHING! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conscious state ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cognition ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cognition 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cognition 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other cognitive functions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meningeal signs ,[object Object],[object Object],[object Object],[object Object]
Cranial nerves (a) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cranial Nerves (b) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cranial nerves (c) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Cranial nerves (d)
Cranial nerves (e) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cranial nerves (f) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Upper motor neuron ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lower Motor Neuron ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagram of motor pathways
Absent Present Pathological reflexes Decreased or Normal Increased (unless acute) Tendon Reflexes decreased decreased Power (MRC scale) 0-5 /5 Decreased (or normal) Increased (unless acute) Tone Atrophy Fasciculations Normal (disuse atrophy) Inspection of muscles Lower Motor Neuron Upper Motor Neuron
Sensory System ,[object Object],[object Object],[object Object],[object Object],[object Object],Spinothalamic Post. columns
Sensory examination II ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Which method would you concentrate on? ,[object Object],[object Object],[object Object],[object Object]
Symptoms and signs of cerebellar disease (VANISH’D) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stability and Gait ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Extrapyramidal “ TRAP” ,[object Object],[object Object],[object Object],[object Object]
Normal examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal examination 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal examination 3 ,[object Object],[object Object],[object Object],[object Object]
How to present ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THE END

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Neurological Examination

  • 1. Neurological examination Submitted to AskTheNeurologist.Com in 2008 http://www.asktheneurologist.com/Study-Neurology.html
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  • 21. Diagram of motor pathways
  • 22. Absent Present Pathological reflexes Decreased or Normal Increased (unless acute) Tendon Reflexes decreased decreased Power (MRC scale) 0-5 /5 Decreased (or normal) Increased (unless acute) Tone Atrophy Fasciculations Normal (disuse atrophy) Inspection of muscles Lower Motor Neuron Upper Motor Neuron
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