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The "Normal Adult Exam" and its paragraph and neuromuscular versions are compatible with comprehensive exam requirements for highest level of billing (level III for admissions, V for consults and office visits) according to CMS.
Presented in full color, Clinical Neurology is enhanced by chapter outlines that facilitate a quick review of each topic, an emphasis on the neurologic examination and history taking as the cornerstone of diagnosis, and treatment protocols that reflect the most recent advances in the field.
examination shows a resting tremor of both hands and mild ataxia. On mental status examination, she is oriented to person, place, and time, but she recalls only one of three objects after 5 minutes.
The neurological exam consists of the following components: 1. Higher cognitive function as assessed by the mental status examination. (This will be addressed elsewhere in the course.) 2. Cranial nerves 3. Motor system 4. Sensory systems 5. Stance and gait I Olfactory Nerve Examination Technique: stimulant should be non-irritating test one ...
• Test for distal gradient of sensory loss in the leg • Test for sensory loss in most commonly affected nerve and nerve root distributions – Palmar aspect of index finger (median nerve). – Palmar aspect of 5th finger (ulnar nerve) – Web space between thumb and index finger on dorsal surface of hand (radial nerve).
When performing the neurological examination, it is important to keep the purpose of the examination in mind, namely to localize the lesion. A basic knowledge of neuroanatomy is necessary to interpret the examination. The key to performing an efficient neurological examination is observation.
CLINICAL SIGNIFICANCE A neurological exam focuses the area of concern, thereby minimizing extra-neous ancillary testing and providing a framework to contextualize findings disclosed by those tests as incidental or noncontributory. In many cases, a neurological exam is pathognomonic for the diagnosis. A neurological exam strengthens the
