The Precise Neurological Exam

Question

I don't know if this site has ever been mentioned in the past. I do know many times I have read post asking about a thorough neuro exam. This is the best info I have came across and I thought others might find it helpful. Just but the info below back together without spaces and you have it. If it gets deleted and you are interested just PM me and I will send it to you. After I red this teaching module I realized my neuro exam had been a joke. But if we don't know what a good one is then how are we to know what a bad one is?

terry

terry

PastorDan · Answer

Those videos played fine for me.  They were pretty informative, even if the acting was somewhat less than stellar.  I'm sure the guy speaking was a real neurologist, and the "patient" he was examining was likely a student. Not the world's most exciting programming, but quite adequate.

PastorDan · Answer

I watched some of them several days ago, I think.  I'll go back and check to see if I can get them tonight.

saveone · Answer

XP and I use avira antivir.  I have not had a problem playing anything else.  Have you watched the videos?  I was wondering if the page had exhausted and the plug in was missing????

PastorDan · Answer

That is strange, and undoubtedly aggravating.  Sounds like there might be a security setting in either your browser or your firewall, or if you have an internet security suite installed (as we all should) such as Norton or McAfee, somewhere in there.  What is your operating system (i.e., Mac, XP, Vista, etc.)?

saveone · Answer

Lu I tried. I downloaded real player.  It still pops up plug in needed.  But when I tell it to install it says no suitable plug in found.  So go figure.

terry

Lulu54 · Answer

terry (saveone),
did you get the popup installed and the site to run for you?

Lu

Quixotic1 · Answer

Yes, it is important that our doctors do enough of a detailed exam to know if we are losing ground or not.  The MRI can't show if the weakness is increasing or the sight decreasing.

If you are not diagnosed, you should know what a truly good neuro exam looks like.  They may not do EVERY test - like every kind of sensation, but all of those areas should be tested.

An example - at every recheck my neuro checks 18 muscle groups on each side!  That is 36 separate muscle strength checks.  He goes back and looks at all his prior notes and can tell me where I have lost a little ground or if my exam is really unchanged.

A spit and polish exam is NOT good enough!

Quix

Lulu54 · Answer

terry,
It pops up on my computer on the realplayer that was already installed.  Do you have realplayer?  You can download the player for free at  real.com  

I hope that helps.
Lulu

saveone · Answer

Lu I tried the site but it said I needed to install plug ins to view.  I told it to install and it said it could not locate available plug ins.  Do you know which one is needed to view the videos?

Lulu54 · Answer

This site through Temple University has 
videos of each part of the exam.  They are one the far right side of the menu bar from this page    http://isc.temple.edu/neuroanatomy/lab/lesions/index.htm

rudyhorse · Answer

you go!  I had a joke of an exam too.  Just glad I knew what a real  one was supposed to be like, uh like you should do a person's reflexes..... snotty today huh?  

Anyway, great idea to post that info rendean and saveone, hope someday I will be a good source of info too.
Thanks
Tracy

rendean · Answer

Great site. I also found one called "NeuroLogical Exam", Yes the L is uppercase, from site from Utah's med libray. Just google NeuroLogical Exam and read the site source.

saveone · Answer

edinfo.med.nyu.edu
/courseware/         neurosurgery

/index.html

Some said it was deleted I am trying again but if it is deleted PM and I will get it back to you.