- PROGRESSING
THROUGH A NEUROLOGICAL CASE:
Each case follows a six-step process of discovery and decision-making.
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A
case begins with a Case History in which preliminary information
about the patient and any signs and symptoms are presented. |
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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 |
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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. |
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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.
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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.
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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. |
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- 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
- 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.
- 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.
- 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...
- 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.
- 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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