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Neurological examination information


Neurological examination
The human nervous system
Specialtyneurology
ICD-9-CM89.13
MeSHD009460
[edit on Wikidata]

A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history,[1] but not deeper investigation such as neuroimaging. It can be used both as a screening tool and as an investigative tool, the former of which when examining the patient when there is no expected neurological deficit and the latter of which when examining a patient where you do expect to find abnormalities.[2] If a problem is found either in an investigative or screening process, then further tests can be carried out to focus on a particular aspect of the nervous system (such as lumbar punctures and blood tests).

In general, a neurological examination is focused on finding out whether there are lesions in the central and peripheral nervous systems or there is another diffuse process that is troubling the patient.[2] Once the patient has been thoroughly tested, it is then the role of the physician to determine whether these findings combine to form a recognizable medical syndrome or neurological disorder such as Parkinson's disease or motor neurone disease.[2] Finally, it is the role of the physician to find the cause for why such a problem has occurred, for example finding whether the problem is due to inflammation or is congenital.[2]

  1. ^ Nicholl DJ, appleton JP (May 29, 2014). "Clinical neurology: why this still matters in the 21st century". J Neurol Neurosurg Psychiatry. 86 (2): 229–33. doi:10.1136/jnnp-2013-306881. PMC 4316836. PMID 24879832.
  2. ^ a b c d Fuller, Geraint (2004). Neurological Examination Made Easy. Churchill Livingstone. p. 1. ISBN 0-443-07420-8.

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Neurological examination

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Neurology

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specialise in neurological rehabilitation, which may include stroke medicine, as well as traumatic brain injuries.[citation needed] During a neurological examination...

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Upper limb neurological examination

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An upper limb neurological examination is part of the neurological examination, and is used to assess the motor and sensory neurons which supply the upper...

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obsessive compulsive disorder. Neurological disorders in non-human animals are treated by veterinarians. A neurological examination can, to some extent, assess...

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Functional neurologic disorder

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Functional neurologic disorder or functional neurological disorder (FND) is a condition in which patients experience neurological symptoms such as weakness...

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HEENT examination

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(TM) (otoscope used in evaluation of ears, nose, and mouth) A neurological examination is usually considered separate from the HEENT evaluation, although...

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Cranial nerve examination

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nerve exam is a type of neurological examination. It is used to identify problems with the cranial nerves by physical examination. It has nine components...

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Glasgow Coma Scale

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1016/0013-4694(59)90004-5. PMID 13630229. Fisher CM (1969). "The neurological examination of the comatose patient". Acta Neurologica Scandinavica. 45 (S36):...

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Neuroimaging

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history does not suggest other neurological symptoms, the diagnosis includes a neurological examination but routine neurological imaging is not indicated because...

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Tinnitus

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commonly supported by an audiogram, and an otolaryngological and neurological examination. How much tinnitus interferes with a person's life may be quantified...

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Gait abnormality

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walking (gait). Watching a patient walk is an important part of the neurological examination. Normal gait requires that many systems, including strength, sensation...

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Achilles tendon

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hypercholesterolemia. The Achilles tendon is often tested as part of a neurological examination. In this examination, the tendon is hit with a tendon hammer. This tests...

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Jaw jerk reflex

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(eds.). Chapter 16: History of the development of the neurological examination. History of Neurology. Vol. 95. Elsevier. pp. 213–233. doi:10.1016/s0072-9752(08)02116-7...

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Wartenberg wheel

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online Wartenberg, Robert (October 16, 1937). "A Pinwheel for Neurological Examination". Journal of the American Medical Association. 109 (16): 1294....

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Chronic inflammatory demyelinating polyneuropathy

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The diagnosis is usually provisionally made through a clinical neurological examination. Typical diagnostic tests include: Electrodiagnostics – electromyography...

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Pronator drift

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as pyramidal drift) refers to a pathologic sign seen during a neurological examination. Jean Alexandre Barré is credited with having first described it;...

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Patellar reflex

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the neurological examination". In Aminoff, Michael J.; Boller, François; Swaab, Dick F. (eds.). History of Neurology. Handbook of Clinical Neurology. Vol...

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Consciousness

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Hal Blumenfeld (2009). "The neurological examination of consciousness". In Steven Laureys, Giulio Tononi (eds.). The Neurology of Consciousness: Cognitive...

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Monofilament

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type of thread A monofilament as used in a monofilament test in a neurological examination Monomolecular wire, a theoretical type of wire consisting of a...

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Physical examination

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In a physical examination, medical examination, clinical examination, or medical checkup, a medical practitioner examines a patient for any possible medical...

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Ataxia

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"Measuring ataxia: quantification based on the standard neurological examination". Journal of Neurology, Neurosurgery, and Psychiatry. 57 (1): 22–26. doi:10...

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Membership of the Royal Colleges of Physicians of the United Kingdom

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perform a neurological examination. Station 4: Tests the candidate's communication skills and the ability to perform abdominal examination. Station 5:...

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Palpebral fissure

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(Nov. 2006). Xalatan (latanoprost ophthalmic solution) 0.005% (50 μg/mL). Accessed 5 Feb 2011. Facial Neurological Examination from University of Toronto...

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Spondylolisthesis

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examination, most importantly neurological examination, must be done to rule out alternative causes for signs and symptoms. Neurological examination is...

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Peripheral neuropathy

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clinical history, and a detailed examination. During physical examination, specifically a neurological examination, those with generalized peripheral...

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Fasciculation

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fasciculations can be annoying and interfere with quality of life. If a neurological examination is otherwise normal and EMG testing does not indicate any additional...

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Robert Wartenberg

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area of clinical signs of neurological conditions. He continues to be commemorated by the American Academy of Neurology's annual Robert Wartenberg Lecture...

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