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Old 05-08-2012
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Clock No time to complete full neurological exam

I can not find any time while practicing a neuro case to do a complete and nice neuro exam except if i have skipped at least abdominal exam.
neuro should include motor, sensory, cranial nerves, DTR, GAIT, ROMBERG, heel to knee, +_ (orientation, recall,..)
so it takes a lot of time actually
I think neuro cases include confusion, dementia, tremors, LOC, headaches, numbness...
does any one have anything to add??
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Old 05-08-2012
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You won't be able to complete a full neurological exam in the CS encounter. You need to focus on the presenting complaint.

For example, if you have a headache case with history suggestive of migrain then perhaps a quick mental and cranial nerve and you can skip the reflexes and sensation unless the patient has relevant symptoms.

You need to tailor your physical exam to reflect the important points you gathered in the history.

They will not score you off if you don't do vibration and position sense in a case of headache, but on the other hand you have to do them if you have a diabetic neuropathy for example.

This issue was also discussed here
Full Neurological Examination in CS cases?

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The above post was thanked by:
alanine40 (05-08-2012), hgm10 (06-03-2015)
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Old 05-08-2012
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Default thank you

maybe i should skip abdominal exam in this case
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