NEUROLOGICAL EXAMINATION Dr Lu Qinshi Dept Neurology, Ren Ji Hospital Shanghai Second Medical University Te:63260930-2217 Email:ginchilu(@hotmail.com
NEUROLOGICAL EXAMINATION Dr. Lu Qinchi Dept. Neurology, Ren Ji Hospital Shanghai Second Medical University Tel: 63260930-2217 Email: qinchilu@hotmail.com
IMPORTANTCE Despite recent advances in neuroscience and the continuing development of sensitive diagnostic procedures, the essential skill required for the diagnosis remains the clinical neurologic examination o Most neurologic diagnosis can be made on the basis of the history alone
IMPORTANTCE! ⚫ Despite recent advances in neuroscience and the continuing development of sensitive diagnostic procedures, the essential skill required for the diagnosis remains the clinical neurologic examination ⚫ Most neurologic diagnosis can be made on the basis of the history alone
SIX PARTS OF THE NEURO EXAM o Mental state cognitive Function ● Cranial nerves o Motor system Sensory System ● Reflexes
SIX PARTS OF THE NEURO EXAM ⚫ Mental State & Cognitive Function ⚫ Cranial Nerves ⚫ Motor System ⚫ Sensory System ⚫ Reflexes
MEnTAL STATE& COGNITIVE FUNCTION
⚫MENTAL STATE& COGNITIVE FUNCTION
Mental State Cognitive Function Level of consciousness(Mental State) ● NORMAI: patient awake and alert, attentive to surrounding and to the examiner ● DEPRESSED: Sleepy Lethargic Stuporous-arrousing only briefly in response to pain stimulation Comatose-not arousable by pain stimulation
Mental State & Cognitive Function -Level of consciousness( Mental State) ⚫ NORMAL: – patient awake and alert, attentive to surrounding and to the examiner ⚫ DEPRESSED: – Sleepy – Lethargic – Stuporous-arrousing only briefly in response to pain stimulation – Comatose-not arousable by pain stimulation