[...]... disease, Gaucher disease, phenytoin pseudolymphoma, sarcoidosis, Whipple disease, and in many other conditions that may also have neurologic manifestations Authors: Campbell, William W Title: Pocket Guide and Toolkit to D eJong's Neurologic Examination, 1st Edition Copyright ©2008 Lippincott Williams & Wilkins > Table of Contents > Section B - Histor y, Physical Ex amination, and Over view of the Neur... risk factors for HIV Family history of dementia or Alzheimer disease M odified from: Campbell WW, Pridgeon RM Practical Primer of Clinical Neurology Philadelphia: Lippincott Williams and Wilkins, 2002 Authors: Campbell, William W Title: Pocket Guide and Toolkit to D eJong's Neurologic Examination, 1st Edition Copyright ©2008 Lippincott Williams & Wilkins > Table of Contents > Section B - Histor y,... Ex amination Chapter 4 General Outline of the Neurologic Examination The neurologic examination, as commonly done, includes the major categories listed in Table 4.1 Although the examination does not have to be performed in any particular sequence, and every physician develops his own routine for the examination, it is customary to record the neurologic examination in the general format outlined in... emphasis of a more searching subsequent examination There are a number of ways to perform a screening examination Table 4.2 details such an abbreviated examination from DeJong's The Neurologic Examination There are two basic ways to do a traditional neurologic examination, regional and systemic A system approach evaluates the motor system, then the sensory system, and so on A regional approach evaluates... myxedema, hyperthyroidism, and Down syndrome In some neurologic disorders there are characteristic changes in facial expression and mobility, such as the fixed (“masked”) face of parkinsonism, the immobile face with precipitate laughter and crying seen in pseudobulbar palsy, the grimacing of athetosis and dystonia, and the ptosis and weakness of the facial muscles seen in some myopathies and myasthenia gravis... provide many clues to the etiology of neurologic disease as well as to the presence of underlying systemic disease that may be causing neurologic symptomatology Examples of findings of possible neurologic relevance include bilateral exophthalmos due to thyroid eye disease; unilateral proptosis due to thyroid eye disease, carotid-cavernous fistula, meningocele, encephalocele, or histiocytosis X; corneal... himself to be well, when he had to stop work, when he began to use an assistive device, when he was forced to take to his bed It is often useful to ascertain exactly how and how severely the patient considers himself disabled, as well as what crystallized the decision to seek medical care A careful history may uncover previous events which the patient may have forgotten or may not attach significance to. .. tend to have unilateral nonpulsatile orbitofrontal pain with no visual, GI, or neurologic accompaniments and tend to get some relief by moving about Patients with tension or muscle contraction headaches tend to have nonpulsatile pain which is bandlike or occipitonuchal in distribution, and unaccompanied by visual, neurological, or GI upset Table 2.6 lists some of the important elements in the history... information Gesticulations, restlessness, delay, hesitancy, and the relation of demeanor and emotional responses to descriptions of symptoms or to details in the family or marital history should be noted and recorded These and the mode of response to the questions are valuable in judging character, personality, and emotional state The patient's story may not be entirely correct or complete He may not possess... history taking phase of the encounter, then a more detailed mental status examination should be carried out Other reasons to do a formal mental status examination are discussed in Chapter 5 Simple observation is often useful The patient's gait, voice, mannerisms, ability to dress and undress, and even handshake (grip myotonia) may suggest the diagnosis TABLE 4.1 Major Sections of the Neurologic Examination . Matt and Shannon; to Russell N. DeJong, neurologist extraordinaire; and to Anne Sydor. Authors: Campbell, William W. Title: Pocket Guide and Toolkit to DeJong's Neurologic Examination, 1st. that the Toolkit will elevate the Pocket Guide from a mere abbreviated textbook on the neurologic examination to a useful clinical tool for examining patients. With the Pocket Guide and its accompanying. W. Title: Pocket Guide and Toolkit to DeJong's Neurologic Examination, 1st Edition Copyright ©2008 Lippincott Williams & Wilkins > Fr ont of Book > Dedication Dedication To Wes, Matt and