PediNeuroLogic Exam: Introduction: General Physical Examination
In the neurological assessment of the child don't neglect the general physical examination. Some of the parts of the general examination that are particularly important to note are the following: Somatic growth - measure height and weight and compare percentiles with head circumference; Search for dysmorphic features - carefully study the face especially the midface. There is the old adage that the face reflects the brain because anomalies of the midface are often associated with underlying brai
PediNeuroLogic Exam: Newborn: Abnormal: Tone - Scarf Sign
The scarf maneuver demonstrates low shoulder girdle tone. The hand actually can be pulled beyond the opposite shoulder and the elbow goes past the midline. A neuroscience tutorial focusing on those aspects of the pediatric neurological examination that are unique to the child's nervous system, with an emphasis on important neurodevelopmental milestones.
PediNeuroLogic Exam: Newborn: Abnormal: Reflexes - Deep Tendon Reflexes
Testing deep tendon reflexes on this baby demonstrates that they are present. This is important in trying to sort out if the baby has low tone from an upper motor neuron lesion or if he has a lower motor neuron or muscle disorder. In older children and adults, an upper motor lesion causes spasticity but in babies an upper motor neuron lesion can cause hypotonia. A disease of the lower motor neuron is unlikely with the deep tendon reflexes being present. The baby could still have a muscle disorde
Student Greeting Highlights, 2011
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