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Neurological-examination.pdf - Redab Ahmad Alkhataybeh / MD...

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Redab Ahmad Alkhataybeh / MDFormer Neurosurgeon at King Abdallah University HospitalMaster degree in Medicine at Jordan University of Science & TechnologyCertified Neurosurgeon at Jordan Medical CouncilFEBNS / European Board of Neurological SurgeryInternational Member in AANS / Member in ACNS/YNSFaculty of medicine committee / Hashemite University
What are the goals?Determine whether in fact neurological dysfunction exists.Determine the affected system : motor, sensory , CN or several.Determine the Location of the problem (where Is the pathology).Determine the possible causes (What is the pathology).
Neurological History1)Nature & location of the symptoms2)Time relationships3)Precipitating, exacerbating & relieving factors4)Associated symptoms5)Past history6)Drug history7)Family history8)Social history9)Witness evidence
Nature & location of the symptomsClarify the meaning of the terms used by the patients to describe their Sx.Determine which parts of the body are affected by Pain, weakness orsensory lossBe aware of terms :BlackoutsVertigonumbness
Time relationshipsThe onset, duration and pattern of symptoms over time.When did it start?Suddenly or gradually?How long did they last?Constant or intermittent?Do the symptoms occur at certain time?
Precipitating, exacerbating or relieving factorsWhat were you doing when Sx start?What are the triggers of the Sx?SleepPostureCoughingExerciseAny activities to ease the Sx?
Associated symptomsAsk about other features of neurological disease which accompany the Sx.HeadacheFits/ Faints / funny turnsMemory/ attentionSensory SxSphincter disturbanceSexual dysfuctionVision/ hearing/Sleep/ appetite / mood
Past historyA full past medical history is essential.Note for any prev. neurological eventsElderly >> DM, HTN ?Younger >> detailed accounts of birth and early development
Drug historyConsider drug-related cause for symptoms.Make complete list of recent and current medicationsExamples :Statins >>> H/ASteroids >> memory changes/ visual loss/ myopathyBisphosphonates >> dysphagiaCimetidine >> peripheral neuropathyAntidepressant >> tremor
Family historyAsk for genetic Dx affect the nervous system :Neuropathies

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Term
Fall
Professor
NoProfessor
Tags
trigeminal nerve, Glossopharyngeal nerve

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