EXP NO 9
DATE
          TO DEMONSTRATE THE GENERAL NEUROLOGICAL EXAMINATION.
AIM: To demonstrate the general neurological examination.
REFERENCE:
    a) A Textbook of Practical Physiology by C.L. Ghai, Jaypee Brothers Medical Publishers Pvt. Ltd,
       8th Edition, (2013).
PRINCIPLE:
The diagnosis of neurology patient depends primarily on correlating the signs and symptoms to the
underlying disease process. The anatomical diagnosis depends on the assessment of changes in
motor and sensory functions, alteration in reflexes, and subjective objective features of lesions of
cranial nerves. A more focused history may help in formulating a diagnosis and suggest the nature of
pathology. In recent years magnetic resonance imaging (MRI) and computed tomography (CT)
scanning have transformed neurological diagnosis and refined clinical approach.
PROCEDURE:
Taking a careful history of illness is of great importance (as in other systems) and frequently requires
as much or more skill than in later physical examination in a case of neurological disease. Impatience,
boredom, disbelief, embarrassment and reproach usually act as a barrier to communication with a
patient of low level of intelligence, or when she/he is confused, or not fully conscious. In such cases,
help has to be taken from the patient’s attendants. In a neurology patient, the history of progress of
disease will provide valuable leads to the part of nervous system involved and the nature of
underlying pathology.
COMMON SIGNS AND SYMPTOMS OF NEUROLOGICAL DISESAE
    •     Speech and language defects- dysarthria and dysphasia (cognitive disturbance) difficulty in
          communication.
    •     Partial un consciousness with restlessness, or coma.
    •     Altered behaviour and emotional state such as confusion and disorientation.
    •     Motor defects- such as weakness, paralysis, fits (convulsion), rigidity, tremor, involuntary
          movements, and alteration gait.
    •     Sensory disturbances.
    •     Effects of involvement of cranial nerves, e.g. unilateral visual loss.
The major causes of these signs and symptoms are: -
    •     Vascular insults (haemorrhage and ischemic stroke)
    •     Spinal injuries
    •     Degenerative diseases
    •     Infections (bacterial and viral) and so on.
RESULT:
Neurological examination was studied, examined and understood.