CNS Examination

#Setakat ni. Video ni kind of banyak membantu kau :)


Tom Lissauer, Fourth edition:

This book said, had two options:

1. Screening
-Observe posture and movement of limbs
-Picking infants up, note their tone. 

-Limbs and body might feel normal, floppy or stiff.
-Head control maybe poor, with abnormal head lag on pulling to sitting.

2. In brief. These points should be included:

-Pattern of movement - check either child had heel-toe/toe-heel movement, tight achilles tendon, foot drop (most common), gait (broad based or waddling), Gowers sign (which is, when child >3 years old, prone first before they stand) 

-Coordination (symmetry/asymmetry)

-Inspection of the limbs
-Muscle tone
-Power
-Reflexes
-Plantar responses
-Sensation
-Cranial nerves

"MCL  TPR  PSC" - boleh buat mnemonic sendiri lah kan.Hii 

(In brief for neuro exam. We need to check for this 9 aspects) 

Bones and joints:

pGALS

pG- paediatric Gait

A-Arms
L-Legs
S-Spine 

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K.

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NukilanNajwa!