The document provides guidance on examining the central nervous system. It discusses examining higher mental functions, the motor system, cranial nerves, sensory systems, and reflexes. The objectives are to understand and demonstrate how to test various aspects of consciousness, memory, language, motor skills, cranial nerves, sensation, and reflexes. The examinations are designed to assess functions of the brain and spinal cord through neurological assessments.
Clinical Examination of Nervous System - PPT -- By Prof. Dr. R. R. Deshpande
• This PPT explains how to perform Central Nervous System Examination systematically & step by step .This includes (1) Examination for higher functions (2) Examination of cranial nerves (3) Examination of sensory system (4) Examination of motor system (5) Examination of reflexes (6) Examination of gait (7) Examination of spine and cranium (8) Examination for special signs (such as cerebellar signs)
• Visit – www.ayurvedicfriend.com
• Phone – 922 68 10 630
Skin complaints are common in clinical exams and everyday practices.
Skin cancers are increasing in prevalence and if detected early, treatment can be curative.
cutaneous signs can also be a vital in identifying systemic diseases.
With a structured examination technique and a little knowledge of terminology, skin signs can classified systematically.
Clinical Examination of Nervous System - PPT -- By Prof. Dr. R. R. Deshpande
• This PPT explains how to perform Central Nervous System Examination systematically & step by step .This includes (1) Examination for higher functions (2) Examination of cranial nerves (3) Examination of sensory system (4) Examination of motor system (5) Examination of reflexes (6) Examination of gait (7) Examination of spine and cranium (8) Examination for special signs (such as cerebellar signs)
• Visit – www.ayurvedicfriend.com
• Phone – 922 68 10 630
Skin complaints are common in clinical exams and everyday practices.
Skin cancers are increasing in prevalence and if detected early, treatment can be curative.
cutaneous signs can also be a vital in identifying systemic diseases.
With a structured examination technique and a little knowledge of terminology, skin signs can classified systematically.
Brief Presentation on clinical examination of Respiratory System with Report of Normal case
references:
macleod's clinical examination 13th edition
hutchinson clinical methods
R Alagappan - Manual of Practical Medicine, 4th Edition
Pulse Examination PPT -- By Prof.Dr.R.R.deshpande -- This is PPT abput Pulse Examination .Prof.Deshpande has explained how pulse should be examined for Rate,Rhythm,Volume ,Tension ,equality on both side ,Condition of vessel wall .He also explained about Sphygmograph .
Mobile – 922 68 10630
Also visit – www.ayurvedicfriend.com
Brief Presentation on clinical examination of Respiratory System with Report of Normal case
references:
macleod's clinical examination 13th edition
hutchinson clinical methods
R Alagappan - Manual of Practical Medicine, 4th Edition
Pulse Examination PPT -- By Prof.Dr.R.R.deshpande -- This is PPT abput Pulse Examination .Prof.Deshpande has explained how pulse should be examined for Rate,Rhythm,Volume ,Tension ,equality on both side ,Condition of vessel wall .He also explained about Sphygmograph .
Mobile – 922 68 10630
Also visit – www.ayurvedicfriend.com
Ataxia is a medical condition which results in the lack of muscle coordination that usually affects voluntary movements such as walking, eye movements, speech, and the patient’s ability to swallow.
Slides include
Basic anatomy of optic nerves
Background & epidemiology of optic neuritis
Classification of optic neuritis
Clinical features
Investigations
Diagnosis
Differential diagnosis
Managements
Prognosis
Anatomy of Lateral Rectus, Anatomy of Abducens Nerve, Palsy of Abducens Nerve | by Optometrist Hasnain Pasha | Presented at Isra School of Optometry - Al-Ibrahim Eye Hospital
The musculoskeletal system consists of the muscles, tendons, bones and cartilage together with the joints
The primary function of which is to produce skeletal movements
A neuromuscular disorder that leads to weakness of skeletal muscles.
Symptoms
Causes
Prevention
Complications
Common tests & procedures
Neurological examination:
Repetitive nerve stimulation test:
Antibody test:
Pulmonary function tests (PFTs): To check any breathing difficulty.
CT scan: To rule out a presence of tumor in thymus.
Magnetic resonance imaging (MRI): MRI of the chest is performed to rule out a presence of tumor in thymus.
Edrophonium (Tensilon) test:
Medication
Procedures
Nutrition
The Skeletal and Muscular System works together to achieve the great
Success of mechanics.
Malfunction or Dysfunction of this systems can be monitored by proper diagnostics tool with the help of biomedicine.
Treatment, Therapy, and Rehabilitation methods have been developed by bioengineers to enhance the success of these systems where failure is observed.
BME students (US) and researches are working, reading, researching and experimenting tirelessly for the greater success of our failing systems.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
3. Objectives
By the end of the presentation the learners
must be able
• To understand Higher mental functions
examination
• To demonstrate Motor system examination
• To demonstrate Cranial nerve examination
• To demonstrate Sensory system examination
• To demonstrate Reflexes
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4. Higher mental function examination
Consciousness : is a state of awareness of ones self and ones
environment.
Sleep
Akinetic
mutism
Catatonic
Semico
ma
Drowsiness Stupor
Coma
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5. Contd.…
• Delirium is a state of confusion with
excitement and hyperactivity
• Causes
oInfective : Septicaemia, Typhoid,
Cerebral malaria
oWithdrawal state
oToxic: Overdose of aspirin,
amphetamine, atropine etc
oDeficiency of thiamine and nicotinic
acid
oMetabolic : Renal failure,porphyria
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6. Contd…
Delusions are false beliefs which cannot
be corrected in spite of evidence to the
contrary, these have to be distinguished
from superstitions.
Causes
• Holistic
• Delusion of guilt
• Delusions of grandeur
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7. Contd…
• Hallucinations this is a perception of
sensations in the absence of any
sensory stimulus e.g. humming in
the ears or seeing somebody who
does not exist
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8. Contd…
Memory
• Deficient in registration :toxic delirium,
maniac states, senile dementia
• Deficient in retention : senile dementia ,GPI,
Frontal lobe lesion
• Deficient in recall: post traumatic states
,epilepsy ,hysteria.
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9. Contd…
Language & speech
• Dysphasia/Aphasia :is difficulty with
language function.
• Types
• Sensory (Wernicke’s ) dysphasia
• Motor (Broca’s ) dysphasia
• Central dysphasia
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10. Contd…
Dysarthria is indistinct speech due to
weakness or impaired coordination of the
orolingual muscles concerned with the
production of consonants. However grammar
is normal and comprehension of spoken and
written language is retained.
• Types
• Spastic
• Monotonous
• Ataxic
• Lower motor neurone
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14. Contd..
Tone is the resistance offered by the normal muscles to
passive movements .it is greater in those muscles that
maintain the body in position .these are antigravity
muscles .
Hypotonia(Flaccidity)
It is characterised by flabby muscles which offer less
resistance to passive movements.
Causes :
LMND :Poliomyelitis, peripheral neuritis
Rheumatic chorea
Cerebellar disease
This Photo by Unknown Author is licensed under CC BY-SA
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15. Contd..
• Hypertonia is increased resistance to passive
movements
Causes
i. Pyramidal disorders
ii. Extrapyramidal disorders
iii. Tetany
iv. Hysteria
v. Strychnine poisoning
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17. Contd..
Spasticity
1. Pyramidal
2. Involves only antigravity
muscles viz extensor of upper
limbs & flexors of lower limbs
Rigidity
1. Extra pyramidal
2. Involves all groups
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18. Contd…
• Power should be tested at each joint in both upper and the lower
limbs both against the gravity and against resistance.
• MRC grading of Power
Grade 0 No power
Grade I Flicker of contraction only
Grade II Movement with gravity eliminated
Grade III Movement against gravity
Grade IV Movement against gravity and some resistance
Grade V Normal power
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19. Contd…
1) Deltoid—abduction (elevation) of upper arm – (C5-6, axillary nerve)
2) Biceps—flexion of forearm at elbow – (C5-6, musculocutaneous nerve)
3) Triceps—extension of forearm at elbow – (C6-8, radial nerve)
4) Extensor carpi radialis—dorsiflexion of hand at wrist – (C5-6, radial
nerve)
5) Abductor pollicus brevis—palmar abduction of thumb – (C8-T1, median
nerve) w/ thumb at right angle to palm
6) Interrosei—finger abduction (dorsal) & adduction (palmar) – (C8-T1,
ulnar nerve)
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23. Contd…
Tests
1. Romberg's test
2. Tandem walking
3. Finger nose test
4. Finger to finger test
5. Knee-heel test
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25. Contd….
Involuntary movements
Tremors are regular rhythmic contraction of agonist and antagonist
Classification
Type : simple,
compound
Site: unilateral,
bilateral
Rhythm: regular,
irregular
Amplitude :fine,
moderate,
coarse
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26. Cranial nerve examination
CNI: Olfactory nerve
• Cannot evaluate if nasal passages obstructed by rhinitis, polyps, etc.
• Eyes closed
• Occlude one nostril and test other
• Compare 2 sides
• Use non irritating substances – Avoid those that stimulate trigeminal
nerve endings or taste buds (e.g., peppermint, menthol, ammonia)
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31. CNII & III: Pupillary function
• Normal pupils are equal in size and shape and are situated in center
of iris
• Pupillary size varies with intensity of ambient light, but at average
intensity is 3-4 mm
• – Miosis < 2 mm
• – Mydriasis > 5 mm
• – Anisocoria = pupillary asymmetry
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33. CNII & III: Light reflex
• Dim lights
• Fix gaze on opposite wall to eliminate effects of accommodation
• Shine bright light obliquely into each pupil
• Look for both direct (same eye) and consensual (opposite eye)
reaction
• Record pupil size and shape
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34. CNII & III: Accommodation
• Hold finger 10 cm from patient’s nose
• Alternate looking into distance and at finger
• Observe pupillary response
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44. CNXI: Spinal accessory nerve
Trapezius –
• Push head back against resistance
• Shrug shoulders
Sternocleidomastoid –
• Place hand on lower face and have patient rotate head toward that
side
• Observe contraction of opposite SCM
20/05/2020 CNS EXAMINATION (Dr Akshay Shetty) 44
45. CNXII: Hypoglossal nerve
• Note tongue position at rest and on protrusion
• Does tongue deviate in either position?
• Note strength and rapidity of movements
• Have patient push tongue into each cheek
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46. Sensory system examination
• Touch :is tested with cotton wool or the head of the pin on all parts of
the body
• Pain :superficial pain is tested with a pin prick ,deep pain is tested by
pressing calves, tendo Achilles or testes.
• Temperature : two test tubes one containing hot water and other
crushed ice is taken and placed on all the parts of the body.
• Position :the patient is explained the procedure, with his eyes closed
a part of his limb is placed in definite position and then he is asked to
denote the position.
20/05/2020 CNS EXAMINATION (Dr Akshay Shetty) 46
47. Contd…
• Vibrations : a tuning fork of 128 vibrations per second is vibrated and
placed on some bony prominence, and is asked to indicate vibrations.
• Cortical sense: Tactile localisation ,tactile discrimination,tactile
extinction are tested.
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