A patient presents to clinic complaining of numbness and tingling in their toes on the right foot.

 

A patient presents to clinic complaining of numbness and tingling in their toes on the right foot. What neurological assesments would you carry out and why?

 

 

Sample Solution

Neurological assessments are a crucial part of evaluating a patient’s neurological health. They help to identify any abnormalities in the nervous system, which can be caused by a variety of factors, including stroke, dementia, and multiple sclerosis.

There are two main types of neurological assessments:

  • Mental status examination: This assesses the patient’s level of consciousness, orientation, memory, language, and executive functioning.

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Mental status examination

  • Physical examination: This assesses the patient’s motor function, sensory function, reflexes, and coordination.

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Physical examination

The neurological assessment may also include:

  • Cranial nerve examination: This assesses the function of the 12 cranial nerves, which control a variety of functions, such as vision, hearing, and facial movement.

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Cranial nerve examination

  • Gait examination: This assesses the patient’s ability to walk.

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Gait examination

  • Sensory examination: This assesses the patient’s ability to feel light touch, pain, temperature, and vibration.

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Sensory examination

  • Motor examination: This assesses the patient’s muscle strength, tone, and coordination.

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Motor examination

Reflex examination: This assesses the patient’s reflexes, which are involuntary muscle contractions in response to a stimulus.

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Reflex examination

The results of the neurological assessment can help to:

  • Diagnose a neurological disorder: The results of the assessment can help to identify a specific neurological disorder, such as stroke, dementia, or multiple sclerosis.
  • Determine the severity of a neurological disorder: The severity of a neurological disorder can be determined by the extent of the abnormalities found on the assessment.
  • Monitor the progression of a neurological disorder: The assessment can be used to monitor the progression of a neurological disorder over time and to assess the effectiveness of treatment.
  • Develop a treatment plan: The results of the assessment can help to develop a treatment plan that is tailored to the patient’s individual needs.

Neurological assessments are an essential tool for evaluating a patient’s neurological health and for providing appropriate care.

 

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