Читать книгу Neurology - Charles H. Clarke - Страница 104
Detailed Examination
ОглавлениеThe Queen Square scheme is adapted into Table 4.1.
Table 4.1 Detailed examination.
| History and general assessment |
| Complaints, past and family history |
| Personal (confidential) issues, alcohol drugs, tobacco, travel, occupation |
| Previous opinions, medical notes |
| Review of systems |
| Examination |
| Initial appraisal, mental state, cognition, speech |
| Stance, gait, balance, hand preference, skull, spine |
| Cranial Nerves I‐XII |
| Motor System |
| Movements, upper limb posture, wasting, tone, power, reflexes, coordination, diaphragm, neck |
| Sensation (sensory chart) |
| Posterior columns: vibration (128 Hz, VS), joint position (JPS), light touch (LT), 2‐point |
| Spinothalamic: pain (PP), hot/cold (TM) |
| General Physical Examination |
| CVS, BP standing/lying, respiratory, abdomen, endocrine, skin, nodes, joints |
| Summary, Formulation & Provisional Diagnosis |
