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NeuroLogic Exam

How to Use NeuroLogical Cases



    Each case follows a six-step process of discovery and decision-making.

    A case begins with a Case History in which preliminary information about the patient and any signs and symptoms are presented.

    The Neurological Examination follows the Case History. You can choose the order and the parts of the neurological examination that you would like to view by clicking on the picon that represents that part of the exam.

    Mental Status Exam

    Cranial Nerve Exam

    Coordination Exam

    Sensory Exam

    Motor Exam

    Gait Exam

    After completing the exam, you advance to listing your abnormal findings. You use the supplied Checklist of Findings and compare your choices with that of an expert's. You are now ready to begin the process of anatomical localization.

    You start to Localize the Level(s) of the Lesion by selecting from the “Y” level of the neuroaxis. Your choices include:

    • Supratentorial
    • Infratentorial
    • Spinal Cord
    • Peripheral Nerve System
    • Multiple Levels.

    If you choose incorrectly, the program supplies feedback. If you choose the correct answer, you advance to a screen where you select the “X” location (right, left or bilateral) of the lesion at that particular level.

    Again, if you choose incorrectly from the "X" nueroaxis, you receive feedback. If you choose correctly, you proceed to Identifying the Damaged Structures.

    On this screen, a horizontal cross section has the anatomical structures outlined and labeled. From a list of the structures, you choose those you think are damaged for the case. Your choices are compared to an expert's, and the lesion is highlighted on the image.

    You have now arrived at an anatomical diagnosis, the first essential step in making a neurological diagnosis.

    Finally, in the Case Discussion, you review the case and the thought processes used to reach the diagnosis. Neuroimaging studies, if available, are shown as part of the case discussion.

  2. HOW TO FIX MESSY FONTS: Does your web page look like this?

    If so, you need to adjust the "Text Zoom" or "Font Display Size" for your web browser software.

    • For Internet Explorer on Windows Computers:
      • Use the menu VIEW > TEXT SIZE. Select a different size, usually smaller.
    • For Internet Explorer on Macintosh Computers:
      • Use the menu VIEW > TEXT ZOOM. Select a different size, usually smaller.
    • For Netscape on Windows Computers:
      • Use the menu VIEW > DECREASE FONT.
    • For Netscape on Macintosh Computers:
      • Use the menu VIEW > DECREASE FONT SIZE

  3. HOW TO FIX MOVIE CAPTIONS: Are the text captions in your QuickTime movies too large and cropped?

    Text captions display improperly on Windows-based computers if your system display font is set to "Large Fonts." Use this link, ADJUST WINDOWS DISPLAY FONT SIZE, to fix the problem.

  4. This site requires a high-speed connection such as a T1 line, broadband cable modem or DSL. Because of the file size of the QuickTime movies, it is impractical to interact with the NeuroLogic Exam and NeuroLogical Cases websites with a 56K modem.

  5. You must have the QuickTime Browser plug-in to view the movies on this site. This plug-in is available without cost for Macintosh and Windows-based computers. If you do not have QuickTime installed on your computer, click the following download link...

  6. Movies for the site are progressive download files that are transferred over the Internet to your computer.

    Movie links are represented by these framed graphic icons. By clicking on the icon, the movie will open in a smaller, secondary window.

  7. Health Content Disclaimer: This tutorial site is intended for use by health care professionals and is not intended for general public education or patient education. If you are a patient with neurological concerns, contact your personal physician.




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