by Tim Milligan | Nov 11, 2015 | Motor Exam
Some textbooks and neurologists include co-ordination as a separate category of the neurological exam whereas here it is included as part of the motor exam. To perform tasks of co-ordination one requires normal motor, sensory, and cerebellar systems. Lesions affecting...
by Tim Milligan | Nov 11, 2015 | Motor Exam
Abnormal Involuntary Movements Posture Muscle Bulk Tone Power Co-ordination Deep Tendon Reflexes
by Tim Milligan | Nov 11, 2015 | Motor Exam
Abnormal Involuntary Movements, Posture and Bulk Examination Technique: patient should be sufficiently undressed but draped to preserve modesty. compare left to right and proximal to distal. observe for asymmetry, atrophy or hypertrophy. observe for abnormal...
by Tim Milligan | Nov 11, 2015 | Credits
Author & Narrator Marika Hohol MD FRCP(C) Staff Neurologist, St. Michael’s Hospital Assistant Professor of Neurology Faculty of Medicine, University of Toronto Simulate Patient Andrika Hohol Facilitator P.A. Stewart, Ph.D. Professor, Division of Anatomy,...
by Tim Milligan | Nov 11, 2015 | Cranial Nerves Exam
The auditory nerves subserves both hearing and vestibular function. Examination Technique: 1. Hearing: mask the opposite ear and whisper numbers. The patient should not be able to read your lips. Ask the patient to repeat the numbers. If they cannot do so, increase...
by Tim Milligan | Nov 11, 2015 | Cranial Nerves Exam
Examination Technique: explain to the patient that you will be touching them with a sharp object. Reassure them that it is disposable and has not been used on anyone else. for pain, use either a pin or the sharp end of a broken tongue depressor. use a cold tuning fork...
by Tim Milligan | Nov 11, 2015 | Cranial Nerves Exam
The motor component of the trigeminal nerve (V3) supplies the muscles of mastication. The largest of these include the temporalis and masseter muscles. Examination Technique: palpate the temporalis and masseter muscles on either side when the patient clenches their...
by Tim Milligan | Nov 11, 2015 | Cranial Nerves Exam
The 5th cranial nerve, trigeminal, consists of three sensory (V1, V2 and V3) and a motor component, V3. Sensation is tested to light touch with a cotton wisp, temperature with a cold tuning fork and pain with a disposable pin. If the patient complains of sensory...
by Tim Milligan | Nov 11, 2015 | Cranial Nerves Exam
The corneal reflex allows an objective assessment of facial sensation. The afferent limb is V1 of the trigeminal nerve, the efferent limb is the facial or 7th cranial nerve. Examination Technique: explain to the patient what you will be doing. avoid a visual threat...
by Tim Milligan | Nov 11, 2015 | Cranial Nerves Exam
A. Peripheral visual field (a) wiggling fingers (b) counting fingers (c) white pin B. Central visual field (a) red pin Examination Technique: visual fields are assessed by confrontation , i.e. the examiner compares the patient’s visual field to their own and assumes...
