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A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history, [1] but not deeper investigation such as neuroimaging.
The examiner holds their hand in front of the patient, who is then asked to repeatedly touch their index finger to their nose and the examiner's finger. The distance between the examiner's hand and patient's nose should be larger than the forearm length of the patient, so that the patient need to move both their shoulder joint and elbow joint ...
lesion on tip of the nose which can presage ocular herpes zoster Hutchinson's teeth [4] Sir Jonathan Hutchinson: pediatrics: congenital syphilis: small, widely spaced incisors with notched biting surfaces Hutchinson's triad: Sir Jonathan Hutchinson: pediatrics: congenital syphilis: interstitial keratitis, nerve deafness, Hutchinson's teeth ...
Prior to referring a patient to a neurologist, a general practitioner or MS nurse will perform a finger-to-nose test. [5] The clinician will raise a finger in front of the patient and ask him to touch it with his finger and then touch his nose with his forefinger several times. This shows a patient's ability to judge the position of a target.
Nystagmus is tested for. One or two beats is a normal finding. The accommodation reflex is tested by moving the target towards the patient's nose. As the eyes converge, the pupils should constrict. The optokinetic nystagmus test is optional and involves asking the patient to look at a strip of vertical lines moving horizontally across visual ...
Wartenberg's sign is a neurological sign consisting of involuntary abduction of the fifth (little) finger, caused by unopposed action of the extensor digiti minimi. [ 1 ] [ 2 ] This commonly results from weakness of some of the ulnar nerve innervated intrinsic hand muscles -in particular the palmar interosseous muscle to the little finger ...
Common tests that are used to assess intention tremor are the finger-to-nose and heel-to-shin tests. In a finger-to-nose test, a physician has the individual touch their nose with their finger while monitoring for irregularity in timing and control of the movement. An individual with intention tremors has coarse side-to-side movements that ...
Two-point discrimination (2PD) is the ability to discern that two nearby objects touching the skin are truly two distinct points, not one.It is often tested with two sharp points during a neurological examination [1]: 632 [2]: 71 and is assumed to reflect how finely innervated an area of skin is.