Читать книгу Neurology - Charles H. Clarke - Страница 132

Abnormalities are exceptional when the patient is articulate without sensory complaints.

Focus neuro‐anatomically:

 Assess posterior columns first – vibration (VS) and joint position sense (JPS).

 Spinothalamic sensation: cold metal and a disposable sharp object.

 Light touch: fingertip or cotton wool. Avoid stroking/tickling.

 Two‐point discrimination (0.5 cm finger tips, 2 cm soles): useful & shows you are thorough.

 Chart sensory loss or altered sensation.