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Neurologic Exam

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1. Pulse article: How do you do the international standards for neurological classification of SCI anorectal exam? (PubMed)

Pulse article: How do you do the international standards for neurological classification of SCI anorectal exam? Online survey of spinal cord injury (SCI) practitioners.Determine provider understanding and routine performance of International Standards for Neurologic Classification of Spinal Cord Injury (ISNCSCI) anorectal examination.International online questionnaire.A descriptive survey was developed to assess current performance of the ISNCSCI anorectal exam. Information about this survey (...) be given for the components of deep rectal sensation and anal pressure to be separately documented in the neurologic exam and for researchers to focus separately on recovery of sacral function vs. ambulatory function in clinical trials.

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2017 Spinal cord series and cases

2. Exam Series: Guide to the Knee Exam

Exam Series: Guide to the Knee Exam Exam Series: Guide to the Knee Exam - CanadiEM Exam Series: Guide to the Knee Exam In by Kathryn Chan June 5, 2018 A 22 year old female comes to emergency department unable to walk. She was in the middle of a rugby game when she caught the ball while pivoting quickly, and was tackled shortly thereafter. She immediately heard a “pop” and says that the swelling in her right leg has increased substantially over the last hour. Background: The knee is a complex (...) hinge joint and one of the most common sites of MSK injuries. Fortunately a diagnosis is usually possible with a good history and physical exam! Four ligaments – the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL) connect the femur to the tibial plateau, ensuring proper alignment and providing stability. Two menisci cushion the articulating surfaces while several bursa further reduce friction around the knee

2018 CandiEM

3. Exam Series: Guide to the Shoulder Exam

Exam Series: Guide to the Shoulder Exam Exam Series: Guide to the Shoulder Exam - CanadiEM Exam Series: Guide to the Shoulder Exam In , by Kathryn Chan August 7, 2018 A 58 year old right hand dominant painter presents to the emergency department with right shoulder pain. The pain started after he returned a particularly forceful serve during a tennis match earlier that afternoon. He states that it has a similar quality to the shoulder pain he typically feels at night, but more intense (...) . This test also isolates a supraspinatus tendon tear. Test Sensitivity Specificity Likelihood Ratio (LR) External Rotation Lag 47% 94% 7.2 Internal Rotation Lag 97% 83% 5.6 Resistance to External Rotation 63% 75% 2.6 Painful Arc 71% 81% 3.7 Drop Arm 24% 93% 3.3 Lift Off 34-68% 50-77% 1.4-1.5 Neer’s 64-68% 30-61% 0.98-1.6 Hawkins Kennedy 76% 48% 1.5 Jobe 71% 49% 1.3 Clinical Utility of Special Tests in the Shoulder Exam 2 Stability: : Grasp the head of the humerus and pull downwards, checking for a sulcus

2018 CandiEM

4. Exam Series: Guide to the Back Exam

is indicative of SI joint pain. Neurovascular exam : It is essential to check for any neurologic weakness as a sign of serious back pathology. Power should be tested in the lower extremities to investigate any weakness. A gait exam can also be used to assess for weakness and instability. Exams should be repeated to monitor for any rapidly progressing symptoms. Nerve symptoms that are bilateral and span multiple levels are concerning for a spinal lesion that compresses multiple roots. Nerve Root Motor (...) Exam Series: Guide to the Back Exam Exam Series: Guide to the Back Exam - CanadiEM Exam Series: Guide to the Back Exam In , by Kathryn Chan July 23, 2018 A 67-year-old male presents to your emergency room with back pain. He has a history of intermittent back pain that typically responds to NSAIDs, however this particular episode has been much more severe. He now feels sharp pain that radiates into this left foot with certain movements, which causes weakness when walking. His past medical

2018 CandiEM

5. aEEG and neurologic exam findings correlate with hypoxic-ischemic brain damage severity in a piglet survival model. (PubMed)

aEEG and neurologic exam findings correlate with hypoxic-ischemic brain damage severity in a piglet survival model. Newborn pigs offer theoretical advantages for studying newborn hypoxic-ischemic (HI) brain damage because of a development and structure similar to the human brain. However, the correlation between functional features and actual HI brain damage has not been reported.Newborn pigs were examined daily for 3 days after a HI insult using amplitude-integrated EEG (aEEG (...) behavior were the best predictive items for histological and biochemical (lactate/N-acetylaspartate ratio) brain damage. Hyperexcitable response to stress correlated inversely with brain damage. Motionless time, which correlated with brain damage severity, was inversely related to brain concentration of dopamine and norepinephrine.Standard neurologic examination of brain activity and motor and behavioral performance of newborn pigs is a valuable tool to assess HI brain damage, thus offering a powerful

2019 Pediatric Research

6. The Influence of Neuromuscular Reversal on Neurological Physical Exam Time in Lumbar Neurosurgical Cases.

The Influence of Neuromuscular Reversal on Neurological Physical Exam Time in Lumbar Neurosurgical Cases. The Influence of Neuromuscular Reversal on Neurological Physical Exam Time in Lumbar Neurosurgical Cases. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. The Influence of Neuromuscular Reversal on Neurological Physical Exam Time in Lumbar Neurosurgical Cases. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03399890 Recruitment Status : Completed First Posted : January 17, 2018 Last Update Posted

2017 Clinical Trials

7. Implementation of the Hammersmith Infant Neurological Exam in a High-Risk Infant Follow-Up Program (PubMed)

Implementation of the Hammersmith Infant Neurological Exam in a High-Risk Infant Follow-Up Program High-risk infant follow-up programs provide early identification and referral for treatment of neurodevelopmental delays and impairments. In these programs, a standardized neurological examination is a critical component of evaluation for clinical and research purposes.To address primary challenges of provider educational diversity and standardized documentation, we designed an approach (...) to training and implementation of the Hammersmith Infant Neurological Examination with precourse materials, a workshop model, and adaptation of the electronic medical record.Provider completion and documentation of a neurological examination were evaluated before and after Hammersmith Infant Neurological Examination training. Standardized training and implementation of the Hammersmith Infant Neurological Examination in a large high-risk infant follow-up is feasible and effective and allows

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2016 Pediatric Neurology

8. Eye Neurologic Exam

Eye Neurologic Exam Eye Neurologic Exam Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Eye Neurologic Exam Eye Neurologic Exam Aka (...) : Eye Neurologic Exam II. Anatomy III. Exam: Vision See IV. Exam: Pupil See See Direct and consensual response to light Size and Shape V. Exam: Retina See See VI. Exam: Extraocular Movements See Requires intact MLF Intact Most comatose patients show roving eye movements Both eyes cross the midline Other findings Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Eye Neurologic Exam." Click on the image (or right click) to open

2018 FP Notebook

9. Neurologic Exam

Neurologic Exam Neurologic Exam Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Neurologic Exam Neurologic Exam Aka: Neurologic Exam (...) Reflexes Babinski Reflex Grasp Reflex Suck Reflex Glabellar Reflex Hoffman Reflex XI. Exam: Cerebellar Dysmetria Overshooting target Alternating hand movements Heel-knee-shin Romberg Test Walking on base of foot Tandem walking Overall coordination Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Neurologic Exam." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip

2018 FP Notebook

10. Newborn Neurologic Exam

Newborn Neurologic Exam Newborn Neurologic Exam Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Newborn Neurologic Exam Newborn (...) Neurologic Exam Aka: Newborn Neurologic Exam II. Exam: General ( ) Babinski Reflex Upgoing toe until after 6 months of age See s Normally in with hands closed Hold infant in vertical suspension Hypotonia is this position is abnormal Alertness Awakened by uncovering or stimulating foot or cheek Level of activity Jitteriness Consider electrolyte abnormality if severe (obtain , calcium) Periodic breathing Common and normal in children Pauses in breathing up to 20 seconds are normal (unless associated

2018 FP Notebook

11. Monitoring Progress of Neurological and Functional Outcomes in the Paediatric HIV Cohort in the UK

Monitoring Progress of Neurological and Functional Outcomes in the Paediatric HIV Cohort in the UK Developmental Monitoring Guidelines 2019 1 Monitoring Progress of Neurological and Functional Outcomes in the Paediatric HIV Cohort in the UK Authors: Anita Freeman, Clinical Psychologist, Paediatric Department, St Mary’s Hospital Jackie Nicholson, Clinical Psychologist, Paediatric Psychosocial Service, Manchester Children’s Hospital Philippa Hatton, Clinical psychologist, Great Ormond Street (...) referral 10 CONCLUSIONS 11 References 12 2 Summary This document aims to summarise the current understanding of neurological and functional outcomes for children living with HIV and provide recommendations for screening and monitoring, as well as the process for deciding when to refer for or carry out additional assessments. This guideline gives a summary of some of the literature relating to the neurological and functioning outcomes of children and young people living with HIV. It is aimed

2019 The Children's HIV Association

12. Qualitative neurological gait abnormalities, cardiovascular risk factors and functional status in older community-dwellers without neurological diseases: The Healthy Brain Project. (PubMed)

measured in older community-dwellers without neurological or psychological diseases participating to the Health Aging Body Composition study. NGA were rated using standardized readings of video-recorded short walks, combined with standard neurological exam. We tested cross-sectional associations with demographics, vascular risk factors, comorbidities, cognitive function and disability.Of 177 participants (median age [IQR] = 82 [4] years, 55% women, 58% Caucasian), 49 (27.7%) had NGA. The most prevalent (...) for gait speed, this association was attenuated to non-significance (OR = 2.13, 95% CI = 0.71-6.37).In our sample of community-dwelling older adults without neurological diseases, NGA, detected with a standardized neurological exam, part of usual physicians' training, were common. The relationships with diabetes and reduced physical activity might suggest vascular dysfunction as an underlying contributor to NGA. These results, if confirmed by longitudinal studies, which should also disentangle

2019 Experimental Gerontology

13. The HINTS Exam to Differentiate Central from Peripheral Vertigo

, hearing changes, focal weakness or numbness, or speech changes. His past medical history includes hypertension and diabetes, controlled with amlodipine, metformin, and glyburide. On exam, he has horizontal beating nystagmus. Cerebellar exam - including finger to nose, heel to shin, and rapid alternating movements ‐ is otherwise normal. He has an abnormal Rom ­‐ berg’s and is unable to stand or ambulate unassisted. The remainder of his neurologic exam is normal. Head CT, ECG, and labs are all normal (...) Population: Adults with new-­‐onset, acute vertigo with otherwise non-focal neurologic exam Intervention: Bedside oculomotor testing (HINTS exam) Comparison: MRI, discharge diagnosis, follow-up diagnosis Outcome: Diagnostic accuracy, morbidity or mortality related to misdiagnosis Search Strategy An advanced PubMed search was conducted using the terms "(HINTS OR oculomo-­‐ tor OR vestibuloocular) AND (vertigo or dizziness)," limited to humans and the Eng-­‐ lish language, resulting in 142 citations

2014 Washington University Emergency Medicine Journal Club

14. CRACKCast E175 – Neurologic Disorders

CRACKCast E175 – Neurologic Disorders CRACKCast E175 – Neurologic Disorders - CanadiEM CRACKCast E175 – Neurologic Disorders In , , by Chris Lipp May 7, 2018 This episode of CRACKCast covers Chapter 174 in Rosen’s 9th Edition. Today, we will go over common topics in paediatric neurology and emergency medicine that will help you on your next shift! Knowledge of neurologic disorders is essential for any practitioner of emergency medicine, so strap in for a high-yield post. Shownotes: Episode (...) group. When treating the patient with seizures: A careful and detailed history is instrumental in determining whether an event was a seizure. If the event was a seizure, the history should delineate which type of seizure occurred (partial or generalized) and whether the clinical event fits into a known epilepsy syndrome. Status epilepticus constitutes a neurologic emergency that carries high morbidity and mortality rates. Initial treatment is typically with IV lorazepam, followed by fosphenytoin

2018 CandiEM

15. Kieran Walsh: How to avoid an F in your medical exams

Kieran Walsh: How to avoid an F in your medical exams Kieran Walsh: How to avoid an F in your medical exams - The BMJ ---> The first time I read Richard Benson’s book on how to get an F in your exams, I was seriously worried about the future of civilization. When asked for an explanation of the term “hard water,” one student answered “ice.” When asked what natural selection meant, one student wrote that it meant that “the two captains just have to go with their instincts to pick their teams (...) ”. [1] What were children learning at school if they knew so little? But as I read on, I started to realise that many of the answers were deliberate mistakes and that the students knew perfectly well what the correct answers were. They were sending up the system and ridiculing exams. The joke was on us. When working my way through medical school, I also remember being asked some strange questions. Here are a few that spring to mind: “Who was Dominic John Corrigan ?” (he described the collapsing

2017 The BMJ Blog

16. Is the Funduscopic Exam Worthwhile For the General Practitioner?

, and cytomegalovirus [5]. The funduscopic exam can reveal pathology in a wide variety of patients: 1. Evaluating neurologic structures such as the optic disc is useful, for example in patients with headaches, evolving neurologic status, or head trauma. Papilledema or a swollen optic nerve head indicates elevated intracranial pressure. Elevated intracranial pressure is not ruled out by an absence of papilledema, as it does not occur immediately, but is less likely if retinal venous pulsations are seen on exam [6 (...) Is the Funduscopic Exam Worthwhile For the General Practitioner? Is the Funduscopic Exam Worthwhile For the General Practitioner? – Clinical Correlations Search Is the Funduscopic Exam Worthwhile For the General Practitioner? May 2, 2014 5 min read By Emily Fisher Peer Reviewed Some have said that physical examination is a dying art and the nondilated funduscopic exam may be one of the best examples of this. With the increasing perception that the use of imaging and labs allows physicians

2014 Clinical Correlations

17. The Prevalence of Abnormal Preoperative Neurologic Exam in Scheuermann's Kyphosis: Correlation With X-Ray, MRI, and Surgical Outcome. (PubMed)

The Prevalence of Abnormal Preoperative Neurologic Exam in Scheuermann's Kyphosis: Correlation With X-Ray, MRI, and Surgical Outcome. Retrospective.The purpose of this study was to report the prevalence of abnormal neurological findings detected by physical examination in Scheuermann kyphosis and to correlate it to radiographs, magnetic resonance imaging (MRI) findings, and results of operative treatment.There have been sporadic reports about abnormal neurological findings in patients (...) with Scheuermann kyphosis.Among 82 patients with Scheuermann kyphosis who underwent corrective surgery, 69 primary cases were selected. Patients' charts were reviewed retrospectively in terms of pre and postoperative neurological examinations. Sensory or motor change was defined as an abnormal neurological examination. Their duration, associated problems, and various parameters on preoperative radiographs and MRI examinations were also measured to search for any atypical findings associated with an abnormal

2014 Spine

18. Magnetic Non-Invasive Acupuncture For Infant Comfort A Pilot Study in Preterm Infants Requiring Eye-exam for Retinopathy of Prematurity

-exams beginning at 32 weeks corrected age. We will not enroll any infant who meets any exclusion criteria. Exclusion Criteria: Chronic pain stimuli (e.g. infants who have had recent surgery) Neurological problems that could impair pain perception (e.g. diagnosis of intraventricular hemorrhages Grade III or greater) Cardiorespiratory problems that could impair oxygenation (e.g. any infant who is intubated and requiring mechanical ventilation) Contacts and Locations Go to Information from the National (...) Magnetic Non-Invasive Acupuncture For Infant Comfort A Pilot Study in Preterm Infants Requiring Eye-exam for Retinopathy of Prematurity Magnetic Non-Invasive Acupuncture For Infant Comfort A Pilot Study in Preterm Infants Requiring Eye-exam for Retinopathy of Prematurity - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning

2018 Clinical Trials

19. The Spanish version of Face-Name Associative Memory Exam (S-FNAME) performance is related to amyloid burden in Subjective Cognitive Decline (PubMed)

The Spanish version of Face-Name Associative Memory Exam (S-FNAME) performance is related to amyloid burden in Subjective Cognitive Decline The Face-Name Associative Memory Exam (FNAME) is a paired associative memory test created to detect memory deficits in individuals with preclinical Alzheimer's disease (AD). Worse performance on FNAME in cognitively healthy individuals were found related to higher amyloid beta (Aβ) burden measured with Positron-Emission-Tomography using 11C-PiB (PiB-PET (...) ). We previously reported normative data of a Spanish version of FNAME (S-FNAME) in cognitively healthy Spanish-speaking subjects. The aim of the present study was to determine whether performance on S-FNAME was associated with Aβ burden in subjective cognitive decline (SCD) individuals. 200 SCD subjects received neurological and neuropsychological assessments, including the S-FNAME and the Word List task from the Wechsler-Memory-Scale-III (WMS-III). Moreover, they received an MRI and (18)F

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2018 Scientific reports

20. HINTS Bedside Exam: Efficacy in Improving Detection of Stroke in Patients Presenting to the ED for Dizziness

for diagnosing stroke. Results: A total of four articles were included in this systematic review. Three of these met the inclusion criteria while the fourth was included due to the relationship to the others. These were all prospective, cross-sectional studies. The first enrolled 101 subjects and showed the HINTS bedside exam had a higher sensitivity and specificity than other general neurologic signs and initial MRI. The second study, with 190 enrolled participants, showed that the HINTS exam was superior (...) HINTS Bedside Exam: Efficacy in Improving Detection of Stroke in Patients Presenting to the ED for Dizziness "HINTS Bedside Exam: Efficacy in Improving Detection of Stroke in Patie" by Nash W. Keene < > > > > > Title Author Date of Graduation Summer 8-8-2015 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies First Advisor Annjanette Sommers, MS, PA-C Second Advisor Duc Vo Rights . Abstract Background: Worldwide, stroke is the second most common cause

2015 Pacific University EBM Capstone Project

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