Transcription of The Five-Minute Neurological Examination
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The Five-Minute Neurological Examination
1 THE Five-Minute Neurological Examination Ralph F. J zefowicz, MD Introduction The neurologic Examination is considered by many to be daunting. It may seem tedious, time consuming, overly detailed, idiosyncratic, and even capricious. Every neurologist has his/her own version of the Examination , and may appear to use magical thinking to come up with a diagnosis at the end. In reality, the Examination is quite simple. When performing the Neurological Examination , it is important to keep the purpose of the Examination in mind, namely to localize the lesion. A basic knowledge of neuroanatomy is necessary to interpret the Examination . The key to performing an efficient Neurological Examination is observation. More than half of the Neurological Examination is performed by simply observing the patient how he/she speaks, thinks, walks, moves, and simply interacts with the examiner.
2. Gait (casual, heel, toe, tandem) 3. Truncal stability (vermis) and Romberg test (proprioception) 4. Functional motor testing a. Lower limbs - arise from a squat (or a chair with arms folded) b. Upper limbs - raise arms above head 5. Visual fields, pupils and eye movements 6. Motor exam a. Pronator drift b. Finger-to-nose testing with eyes closed
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