How do you document neurological findings?
Documentation of a basic, normal neuro exam should look something along the lines of the following: The patient is alert and oriented to person, place, and time with normal speech. No motor deficits are noted, with muscle strength 5/5 bilaterally. Sensation is intact bilaterally.
How do you examine your legs?
The heel-shin test:
- Ask the patient to lift one of their legs and flex it at the knee, keeping the other leg straight.
- They should then place the heel of the flexed leg on the knee of the other leg and run it down the shin towards the ankle and back again towards the knee.
- Ask them to repeat this a number of times.
What is included in a full neurological examination?
Full neurological examination including the cranial nerves, upper limbs and cerebellar assessment. Neuroimaging (e.g. MRI spine and head ). To complete the examination…
How do you introduce yourself in a neurology exam?
Should be able to see hands to deltoid (upper limb) and toes to upper thigh (lower limb) In the neurological exam above all others, inspection is vital. Introduce yourself with a (careful) hand shake.
What does a general inspection of a neurological patient look like?
On general inspection, the patient appeared comfortable at rest, with normal speech and no other stigmata of neurological disease. There were no objects or medical equipment around the bed of relevance.” “Assessment of the lower limbs revealed normal gait, tone, power, reflexes, sensation and coordination.”
How do you explain a neurological examination in a patient-friendly way?
Briefly explain what the examination will involve using patient-friendly language: “Today I’d like to perform a neurological examination, which will involve me testing the nerves that supply different parts of the body.”