10/09/2023
Determining and associated findings on and help to localizethe .
Each has different disease processes that affect that location.
lesions or global metabolic processes such as toxins may affect consciousness.
While the clinical examination maybe limited in confused or obtunded patients, it should be possible to elicit certain features in all patients including:
1. Whether the deficit affects the face, arms, legs or a combination
2. Whether the deficit is unilateral or bilateral
3. The presence or absence of reflexes
4. Whether there is agross sensory deficit.
These findings will help determinethe anatomical region affected. differentiate anatomic regions:
1. The brain
2. the spinal cord
3. The anterior horn cell
4. The peripheral nerve,
5. the neuromuscular junction (NMJ)
5. the muscle.
of the neurological examination include:
1. of consciousness
2. disturbances
3. nerve involvement
4. strength, tone, reflexes
5.
6. .
Neurocrit Care 2019
https://doi.org/10.1007/s12028-019-00834-0
