Attention also needs to be paid to achievement of appropriate developmental milestones. You assess whether they are dressed appropriately, have good hygiene and assess their mood and interactions. The patient will answer questions about school and life, general functioning, any social concerns. Mental status: This part of the neuro exam is done throughout the visit. Much of the exam can be done during the visit, prior to the formal exam, by interacting, observing and listening to the patient. These components include: mental status, cranial nerves, motor system, sensory system, deep tendon reflexes, coordination and the cerebellum, and gait. The neurologic exam is divided into several components, focusing on different parts of the nervous system.
The nervous system is a complex network of fibers, woven throughout the entire body and responsible for both simple and complicated human functions. I will review a typical neuro exam and share some clinical pearls in this post.
There are certain findings which are common among patients with headaches, some notable particularly for migraine. But I always do a mostly a neurological focused physical exam. Really, this is the most important part of the visit. Whenever I see a patient in my office, I spend most of the visit talking, getting to know the patient and family and getting a thorough history.
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