RT Book, Section
A1 Huff, J. Stephen
A1 Perron, Andrew D.
A2 Tintinalli, Judith E.
A2 Stapczynski, J. Stephan
A2 Ma, O. John
A2 Yealy, Donald M.
A2 Meckler, Garth D.
A2 Cline, David M.
SR Print(0)
ID 1121511478
T1 Neurologic Examination
T2 Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071794763
LK accessmedicine.mhmedical.com/content.aspx?aid=1121511478
RD 2024/04/19
AB In  most  patients,  the  physical  examination  confirms  thoughts  formulated  during  history  taking  that  are  often  the  key  to  patient  evaluation.  Time  of  onset,  symptom  progression,  associated  complaints,  and  exacerbating  factors  are  important  historical  points  to  guide  appropriate  examination  and  other  testing.  The  neurologic  examination  does  not  exist  in  isolation  from  the  general  physical  examination  or  imaging  procedures,  and  it  is  unusual  for  the  neurologic  examination  to  delineate  a  problem  not  already  suggested  by  the  patient's  history  or  general  physical  examination.  Few  findings  of  the  neurologic  examination  are  pathognomonic  of  clinical  conditions  or  are  sufficiently  specific  that  examination  alone  secures  the  diagnosis.  Further  complicating  the  value  of  the  neurologic  examination  is  that  the  sensitivity  and  specificity  of  different  examination  techniques  have  not  been  rigorously  investigated,  and  the  degree  of  interobserver  variability  is  not  known.  The  uncooperative  patient  or  patient  with  altered  mental  status  presents  additional  challenges  in  performing  a  detailed  examination.