AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPsychiatry and PsychologyPhenomena and ProcessesNamed GroupsHealth Care
Neurologic ExaminationNervous System DiseasesDevelopmental DisabilitiesPsychomotor DisordersMotor Skills DisordersMagnetic Resonance ImagingCerebral PalsyInfant, NewbornBrainChild DevelopmentInfant, PrematureFollow-Up StudiesTomography, X-Ray ComputedProspective StudiesGenetic MarkersSeverity of Illness IndexRetrospective StudiesBiological MarkersTreatment OutcomeRisk FactorsPhysical ExaminationTumor Markers, BiologicalTime FactorsBrain Diseases
Predicted neurologic outcomesPoor neurologicPhysicalPatient'sFindingsCerebrospinal fluidOphthalmologicOutcomesDiagnosisNeurologicalSymptomsClinical examinationCutaneousSpinalCornealTumorCardiac arrestAtaxiaAcuteAssessmentAutoimmune markersCardiovascularSyndromeHistoryPatientsLimbsWithdrawalSeverityFunctionalInitialSignsHomonymousReluctanceNeckStudiesGeneCommonDaysProblemFeatures
Predicted neurologic outcomes1
Poor neurologic3
  • Several studies have suggested the usefulness of clinical examination, electrophysiologic studies, biochemical markers, and neuroimaging in predicting poor neurologic recovery in comatose survivors. (medlink.com)
  • Five clinical signs were found to strongly predict death or poor neurologic outcome: absent corneal reflexes at 24 hours, absent pupillary response at 24 hours, absent withdrawal response to pain at 24 hours, no motor response at 24 hours, and no motor response at 72 hours. (medlink.com)
  • WLST, often based on poor neurologic prognosis, is a major cause of death for patients resuscitated after cardiac arrest. (neurologyadvisor.com)
Physical15
  • A thorough neurologic history allows the clinician to define the patient's problem and, along with the result of physical examination, assists in formulating an etiologic and/or pathologic diagnosis in most cases. (medscape.com)
  • These features make the neurologic history and physical examination both challenging and rewarding. (medscape.com)
  • Because the general physical and neurologic examinations are usually normal in patients with RLS, these examinations are performed to identify secondary causes and rule out other disorders. (medscape.com)
  • The sensitivity of the physical examination to identify all significant neck damage remains controversial. (medscape.com)
  • Some experts in the field of trauma assert that physical examination alone is sufficient to assess zone II for injury, while others believe that diagnostic testing is mandatory. (medscape.com)
  • The neurologic examination suggested a L4-S3 myelopathy, but physical examination revealed lack of femoral pulses and rectal hypothermia, as well as a grade II/VI systolic heart murmur, so ischemic neuromyopathy was suspected. (hindawi.com)
  • On physical examination, the patient had rectal hypothermia at 26.4°C, with a euthermic axillary temperature of 37.7°C. The quality of femoral pulses was decreased, and the distal pelvic limbs were cool to the touch. (hindawi.com)
  • The remainder of the physical examination was within normal limits. (hindawi.com)
  • The majority of affected people have normal neurologic physical examinations, however hypotonia and tremors are quite common. (wikipedia.org)
  • In all patients' physical and neurological examinations, MRI and CSF analyses were performed. (biomedcentral.com)
  • Gathering information during the history provides the clinician with clues as to what structure is likely affected, further guiding the physical examination. (physio-pedia.com)
  • Diagnosis is based on physical examination and. (merckmanuals.com)
  • The diagnosis of fluid and electrolyte disorders is complicated by the often-nonspecific symptoms and physical examination findings, which patients suffering from these disorders manifest. (mhmedical.com)
  • Changes in volume are most readily apparent on the cardiovascular physical examination. (mhmedical.com)
  • No other pertinent findings on her physical examination however, neurologic examination revealed Lily to be holding her head down, tetraparetic with decreased withdrawal x4, knuckling x4, normal to increased patellar reflexes x4, intact panniculus, and normal mentation. (ethosvet.com)
Patient's3
  • At the patient's initial visit, a clinical examination confirmed the presence of a rash on her body with a saddle nose and clubbed fingers. (springeropen.com)
  • This treatment was safe and led to improvement in the patient's neurologic examination, imaging findings, and cerebrospinal fluid profiles. (surgicalneurologyint.com)
  • Only those examinations generally used for evaluation of the patient's condition are ranked. (bvsalud.org)
Findings4
  • rather, combined findings of multiple predictive modalities should contribute to neurologic prognostication and the likelihood of survival. (neurologyadvisor.com)
  • Diagnosis of IVDD (intervertebral disc disease) is often done on examination through various exam findings which may include palpation of the spinal column, neurologic examinations and history of your pet. (pawtology.com)
  • Post-ATI, there were no differences in median mood scores or neurologic findings and cognitive performance improved modestly. (usuhs.edu)
  • Patients with primary frozen shoulder have no significant findings in the history, clinical examination, or radiographic evaluation to explain their motion loss and pain. (medscape.com)
Cerebrospinal fluid2
  • Ante mortem diagnosis is achieved via assessment of clinical signs, magnetic resonance imaging (MRI), and cerebrospinal fluid (CSF) analysis, but the definitive diagnosis needs histopathological examination. (biomedcentral.com)
  • CNS measures included paired pre- vs post-ATI measures of mood, cognitive performance, and neurologic examination, with elective cerebrospinal fluid (CSF) sampling, brain diffusion tensor imaging (DTI) and magnetic resonance spectroscopy (MRS). Results. (usuhs.edu)
Ophthalmologic1
  • Ophthalmologic examination revealed best-corrected visual acuity of 6/12 for both eyes. (paojournal.com)
Outcomes6
  • Neurologic examination can be particularly helpful for critically ill patients because many patients admitted to the intensive care unit (ICU) have pre-existing or acquired neurological disorders which significantly affect their short-term and long-term outcomes. (medscape.com)
  • The AHA recommends neurologic prognostication be approached as index tests based on neurologic functions directly related to functional outcomes as well as quality of life. (neurologyadvisor.com)
  • Dichotomizing neurologic outcomes as "good" or "poor" (based on the thresholds of common outcome measures) results in a loss of granularity and prevents measuring the evolution of individual outcomes over time. (neurologyadvisor.com)
  • In prognostication studies, the appropriate timing to assess the impact of the index test on neurologic outcomes should ensure that neurologic deficit has stabilized and that no associated comorbidities have occurred. (neurologyadvisor.com)
  • Although 30 days after cardiac arrest is the minimum timing for measuring neurologic outcomes, recommended follow-up times longer than 30 days are desirable. (neurologyadvisor.com)
  • The AHA cautions against collecting neurologic outcomes at hospital discharge because some social functions and complex activities are difficult to assess within the hospital setting. (neurologyadvisor.com)
Diagnosis3
  • Unlike many other fields of medicine in which diseases are visible (eg, dermatology, ophthalmology) or palpable (eg, surgery), neurology is characterized by conditions that may be detected only by applying specific examination techniques and logical deduction, except when telltale cutaneous markers or other stigmata suggest the diagnosis. (medscape.com)
  • Something felt very wrong about this diagnosis, however, due to the inconsistent neurologic localization - severely decreased withdrawal with normal patellar reflex? (ethosvet.com)
  • Disclaimer: The ACR Committee on Appropriateness Criteria and its expert panels have developed criteria for determining appropriate imaging examinations for diagnosis and treatment of specified medical condition(s). (bvsalud.org)
Neurological4
  • Even a questionable loss of consciousness can be a marker of severe neurological injury. (medscape.com)
  • Disease progression was measured by the Scale for the Assessment and Rating of Ataxia, and the Neurological Examination Score for Spinocerebellar Ataxias when possible. (edu.pe)
  • In the remaining individuals, the Scale for the Assessment and Rating of Ataxia score, and Neurological Examination Score for Spinocerebellar Ataxias worsened by 0.444 (95% CI, −0.088 to 0.800) and 0.287 (95% CI, −0.061 to 0.635) points/year, respectively. (edu.pe)
  • 1988. Neurological examination, computerized- tomography, cerebral blood-flow and neuropsychological examination in workers with long-term exposure to carbon disulfide. (cdc.gov)
Symptoms4
  • Considerable insight and intuition are required to interpret the symptoms and signs observed during neurologic examination. (medscape.com)
  • The symptoms of a disc injury include pain, hunching up of the back, pain when being picked up, reluctance to go up the stairs or jump, wobbly or dragging back legs, or even the inability to use their legs. (pawtology.com)
  • Red flags are signs and symptoms found in the patient history and clinical examination that may be suggestive of serious pathology. (physio-pedia.com)
  • Hepatic or neurologic symptoms develop. (merckmanuals.com)
Clinical examination2
  • Clinical examination, electrophysiologic studies, biochemical markers, and neuroimaging help predict recovery in comatose survivors. (medlink.com)
  • The clinical examination did not reveal any abnormality. (ajnr.org)
Cutaneous1
  • Cryopyrin-associated periodic syndrome (CAPS) is a group of rare autoinflammatory diseases, and of these, chronic infantile neurologic, cutaneous, and articular/neonatal-onset multisystem inflammatory disease (CINCA/NOMID) syndrome has the most severe phenotype. (springeropen.com)
Spinal3
  • If the neurologic deficits or compression of the spinal cord is significant, surgical repair is often recommended. (pawtology.com)
  • A Spinal tap (or lumbar puncture) can assess the fluid circulating around your brain and spinal cord for elevated disease markers of MS or other conditions. (hartfordhealthcare.org)
  • Because the vertebral canal is a fixed space, the hematoma can compress the spinal cord and nerve roots and potentially cause permanent neurologic damage. (medscape.com)
Corneal1
  • Examination of her right eye by slit lamp biomicroscopy showed diffuse conjunctival injection, corneal infiltrates, a corneal ulcer, and hypopyon. (springeropen.com)
Tumor2
  • A progressive increase in the bulk of the residual tumor was noted on follow-up MR examinations during the next 5 years. (ajnr.org)
  • Five different types of pituicytes have been identified on the basis of their cytoplasmic characteristics ( 1 ), and attempts are presently underway to characterize and classify each type as a progenitor of a separate type of neurologic tumor. (ajnr.org)
Cardiac arrest6
  • Therapeutic hypothermia increases the chances of survival and reduces the risk of neurologic damage following cardiac arrest. (medlink.com)
  • A multidisciplinary writing group organized by the AHA Emergency Cardiovascular Care Science Subcommittee released recommendations to improve the quality of adult and pediatric neurologic prognostication studies for survivors of cardiac arrest. (neurologyadvisor.com)
  • Based on existing evidence and expert consensus, a multidisciplinary writing group organized by the American Heart Association (AHA) Emergency Cardiovascular Care Science Subcommittee released recommendations to improve the quality of adult and pediatric neurologic prognostication studies for survivors of cardiac arrest. (neurologyadvisor.com)
  • Most neurologic prognostication studies reported in the cardiac arrest literature used indirect measures of brain injury severity following cardiac arrest. (neurologyadvisor.com)
  • Current measures of neurologic function after cardiac arrest include the modified Rankin Scale and the Cerebral Performance Categories. (neurologyadvisor.com)
  • Although certain outcome measures are generally reliable to assess health-related quality of life after cardiac arrest, further studies are needed to understand the correlation between quality of life and neurologic function following cardiac arrest. (neurologyadvisor.com)
Ataxia1
  • Neurologic examination demonstrated vestibular ataxia, hearing loss, and diplopia resulting from cranial nerve VI palsy. (cdc.gov)
Acute2
  • The Glasgow Coma Scale (GCS) is the mainstay for rapid neurologic assessment in acute head injury. (medscape.com)
  • Population-based attributes for Social Exclusion Index (SEI) and household size may be useful surrogate markers of early exposure to childhood infections, which has been found to decrease the risk of acute lymphoblastic leukemia (ALL). (medscape.com)
Assessment2
  • A functional medicine assessment is an examination into your present state of health and body function. (healthyforlifectr.com)
  • A functional medicine assessment and bio-marker lab testing is an essential first step to understanding the imbalances that may be present in your body. (healthyforlifectr.com)
Autoimmune markers1
Cardiovascular1
  • A hypertensive emergency is a sharp rise in blood pressure to a level above 180/120 mmHg that is associated with target organ damage, often involving exigent neurologic, cardiovascular, or renal manifestations. (nursingcenter.com)
Syndrome1
  • Vogt-Koyanagi-Harada syndrome is a multisystem disease of presumed autoimmune etiology that is characterized by chronic, bilateral, diffuse, granulomatous panuveitis with accompanying integumentary, neurologic, and auditory involvement. (aao.org)
History4
  • A complete history often defines the clinical problem and allows the examiner to proceed with a complete but focused neurologic examination. (medscape.com)
  • Whereas the history is the most important element in defining the clinical problem, neurologic examination is performed to localize a lesion in the central nervous system (CNS) or peripheral nervous system (PNS). (medscape.com)
  • The statement has been made, "History tells you what it is, and the examination tells you where it is. (medscape.com)
  • The history and examination allow the neurologist to arrive at the etiology and pathology of the condition, which are essential for treatment planning. (medscape.com)
Patients2
  • Most often, oropharyngeal dysphagia occurs in patients with neurologic conditions or muscular disorders that affect skeletal muscles. (msdmanuals.com)
  • Determination of the procedural-related bleeding risk is complex and should be individualized, as classical markers of hemostasis (platelet count, international normalized ratio [INR]) have been shown to inaccurately predict bleeding tendency in patients with advanced liver disease. (merckmanuals.com)
Limbs1
  • The owners reported that the dog yelped out after a failed attempt to jump into the truck and was then unable to use his pelvic limbs. (hindawi.com)
Withdrawal1
  • The writing group, which was composed of experts from adult and pediatric neurology, cardiology, emergency medicine, intensive care medicine, and nursing, examined relevant studies and existing practices of neurologic prognostication and withdrawal of life-sustaining treatment (WLST). (neurologyadvisor.com)
Severity1
  • 2019). Elevated concentrations of NfL have also been associated with disease severity in these patient populations, including in MS and other neurologic conditions (Disanto et al. (cdc.gov)
Functional1
  • Functional laboratory bio-marker tests are used to identify your individual needs by checking for biomarkers of anti-oxidant status, inflammation, stress hormone balance, infections and nutrient deficiencies. (healthyforlifectr.com)
Initial2
Signs2
  • Following ascertainment of the GCS score, focus the examination on signs of external trauma. (medscape.com)
  • A single examination is not sufficient, because the onset of signs of injury may be delayed and progressive with neck trauma. (medscape.com)
Homonymous1
  • His examination on arrival was remarkable for disorientation, a right homonymous hemianopia, and nonsensical speech. (surgicalneurologyint.com)
Reluctance1
  • This can be seen as crying out, difficulty rising, reluctance to jump, unwillingness to exercise and a change in behaviour. (vsahospital.co.nz)
Neck1
  • Invested by the most superficial fascia, violation of the platysma serves as a marker for possible serious penetrating neck wounds. (medscape.com)
Studies1
  • A study by Ianakiev et al, localized six consecutive markers on chromosome 9 after gene mapping studies on four affected individuals. (paojournal.com)
Gene1
  • Haplotypes were constructed based on polymorphic markers within and outside the gene. (edu.pe)
Common2
  • Death is used as a neurologic outcome in common outcome measures, but these do not specify the actual cause of death. (neurologyadvisor.com)
  • Neurologic sequelae and developmental delays were common among children with ZBD. (cdc.gov)
Days1
  • Neurologic sequelae and developmental delay were reported among children with 1 follow-up exam after 14 days of age or with 1 visit with development reported, respectively. (cdc.gov)
Problem1
  • What might appear to be a complex problem of localization for the referring physician may turn out to have a simple explanation, and the neurologic consultation may help to avoid extensive testing. (medscape.com)
Features1
  • The purpose of this article is to highlight the process of the examination rather than to provide details about the clinical and pathologic features of specific diseases. (medscape.com)