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Neurological examination pdf

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Yousuf Mahomed

This document provides a quick refresher on the cranial nerves and performing a neurological examination. It lists the 12 cranial nerves and their functions. It then describes performing a 9 minute neurological screening examination to check for abnormalities like cranial nerve palsies or abnormal eye movements. Specific examples of cranial nerve palsies and abnormal cerebellar findings are demonstrated through videos to illustrate what examiners should look for. The document emphasizes that while a full neurological exam takes much longer, this brief screening exam can help detect potential intracranial abnormalities.

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THE NEUROLOGICAL EXAM A QUICK REFRESHER
CAN YOU REMEMBER THE CRANIAL NERVES? I. OLFACTORY SENSE OF SMELL II. OPTIC SENSE OF SIGHT III.OCCULOMOTOR EXTRAOCULAR EYE MOVEMENTS, PUPIL CONTRACTION, LENS SHAPE IV. TROCHLEAR DOWNWARD AND INWARD MOVEMENT OF EYE V. TRIGEMINAL CHEWING,TOUCH, PAIIN, TEMP VI.ABDUCENS LATERAL MOVEMENT OF EYE VII.FACIAL MOVEMENT OF FACE VIII.VESTIBULOCOCHLEAR HEARING, BALANCE IX.GLOSSOPHARYNGEAL TASTE, TONGUE MOVEMENT X. VAGUS VISCERAL MUSCLE MOVEMENT XI.SPINAL ACCESORY TRAPEZIUS AND STERNOCLEIDOMASTOID XII.HYPOGLOSSAL MOVEMENT OF TONGUE
A QUICK REVIEW THE NEUROLOGICAL SCREENING EXAMINATION (+- 9 MIN)
• I THINK WE CAN ALL AGREE THAT IN A PATIENT WITH A SUSPECTED INTRACRANIAL ABNORMALITY IT’S NOT UNREASONABLE TO DO A 9 MINUTE SCREENING EXAMINATION SUCH AS THE ONE DEMONSTRATED • I’M SURE IN A PT WITH A LESION OR OTHER ABNORMALITY WE WILL START NOTICING ABNORMALITIES WELL BEFORE THE END OF THE EXAMINATION • A MORE DETAILED EXAMINATION MAY BE PERFORMED BY A NEUROLOGIST OR PHYSICIAN AT A LATER STAGE • BUT THE SCREENING TEST CAN VERY EASILY TELL US IF THERE IS AN ABNORMALITY • FOR ANYONE WHOSE BEEN TO OR ROTATED THROUGH NEUROLOGY, YOU KNOW THAT A NEUROLOGIST CAN TAKE UP TO 90 MIN PER PT, • EMERGENCY DRS DON’T HAVE THAT TYPE OF PATIENCE!!!!
EYE MOVEMENT ABNORMALITIES YOU WOULD NOTICE THESE WHEN THE PT FOLLOWS THE LIGHT ON EXAMINATION
CAN YOU NAME THE ABNORMALITY? CRANIAL NERVE VI PALSY
CAN YOU NAME THE ABNORMALITY? CRANIAL NERVE III PALSY NOTE THE PUPIL DILATATION
FACIAL NERVE PALSY
A VIDEO OF FACIAL NERVE PALSY APOLOGIES FOR THE LACK OF SOUND
NERVES IX & X PALSY
CRANIAL NERVE XI PALSY SORRY FOR THE LACK OF SOUND NOTE THE LOSS OF MASS OF SCM AND TRAPEZIUS ALSO NOTE THE SHOULDER DROOP ON THE RIGHT
CRANIAL NERVE XII PALSY
 IN HI DEF DOLBY DIGITAL SURROUND SOUND!! (ALMOST)
ABNORMAL CEREBELLAR EXAM •VIDEO 1 IS ABNORMAL GAIT, INCO- ORDINATION,HYPOREFLEXIA AND A +VE BABINSKI’S REFLEX •VIDEO 2 SHOWS CHOREA •VIDEO 3 IS NYSTAGMUS •VIDEO 4 SHOWS OCCULOCEPHALIC DISSOCIATION
THANK YOU THE END

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Neurological examination pdf

  • 1. THE NEUROLOGICAL EXAM A QUICK REFRESHER
  • 2. CAN YOU REMEMBER THE CRANIAL NERVES? I. OLFACTORY SENSE OF SMELL II. OPTIC SENSE OF SIGHT III.OCCULOMOTOR EXTRAOCULAR EYE MOVEMENTS, PUPIL CONTRACTION, LENS SHAPE IV. TROCHLEAR DOWNWARD AND INWARD MOVEMENT OF EYE V. TRIGEMINAL CHEWING,TOUCH, PAIIN, TEMP VI.ABDUCENS LATERAL MOVEMENT OF EYE VII.FACIAL MOVEMENT OF FACE VIII.VESTIBULOCOCHLEAR HEARING, BALANCE IX.GLOSSOPHARYNGEAL TASTE, TONGUE MOVEMENT X. VAGUS VISCERAL MUSCLE MOVEMENT XI.SPINAL ACCESORY TRAPEZIUS AND STERNOCLEIDOMASTOID XII.HYPOGLOSSAL MOVEMENT OF TONGUE
  • 3. A QUICK REVIEW THE NEUROLOGICAL SCREENING EXAMINATION (+- 9 MIN)
  • 4. • I THINK WE CAN ALL AGREE THAT IN A PATIENT WITH A SUSPECTED INTRACRANIAL ABNORMALITY IT’S NOT UNREASONABLE TO DO A 9 MINUTE SCREENING EXAMINATION SUCH AS THE ONE DEMONSTRATED • I’M SURE IN A PT WITH A LESION OR OTHER ABNORMALITY WE WILL START NOTICING ABNORMALITIES WELL BEFORE THE END OF THE EXAMINATION • A MORE DETAILED EXAMINATION MAY BE PERFORMED BY A NEUROLOGIST OR PHYSICIAN AT A LATER STAGE • BUT THE SCREENING TEST CAN VERY EASILY TELL US IF THERE IS AN ABNORMALITY • FOR ANYONE WHOSE BEEN TO OR ROTATED THROUGH NEUROLOGY, YOU KNOW THAT A NEUROLOGIST CAN TAKE UP TO 90 MIN PER PT, • EMERGENCY DRS DON’T HAVE THAT TYPE OF PATIENCE!!!!
  • 5. EYE MOVEMENT ABNORMALITIES YOU WOULD NOTICE THESE WHEN THE PT FOLLOWS THE LIGHT ON EXAMINATION
  • 6. CAN YOU NAME THE ABNORMALITY? CRANIAL NERVE VI PALSY
  • 7. CAN YOU NAME THE ABNORMALITY? CRANIAL NERVE III PALSY NOTE THE PUPIL DILATATION
  • 9. A VIDEO OF FACIAL NERVE PALSY APOLOGIES FOR THE LACK OF SOUND
  • 10. NERVES IX & X PALSY
  • 11. CRANIAL NERVE XI PALSY SORRY FOR THE LACK OF SOUND NOTE THE LOSS OF MASS OF SCM AND TRAPEZIUS ALSO NOTE THE SHOULDER DROOP ON THE RIGHT
  • 12. CRANIAL NERVE XII PALSY
 IN HI DEF DOLBY DIGITAL SURROUND SOUND!! (ALMOST)
  • 13. ABNORMAL CEREBELLAR EXAM •VIDEO 1 IS ABNORMAL GAIT, INCO- ORDINATION,HYPOREFLEXIA AND A +VE BABINSKI’S REFLEX •VIDEO 2 SHOWS CHOREA •VIDEO 3 IS NYSTAGMUS •VIDEO 4 SHOWS OCCULOCEPHALIC DISSOCIATION