4 - Paeds - Community Paeds + Psych - Neurological Ex

Question 1

2 parts of paeds neuro exam?

Answer 1

pGALS

Normal neuro exam

Question 2

3 questions at start of pGALS

Answer 2

pain in joints?
pain/trouble walking?
pain/problems dressing self?

Question 3

after questions in pGALS?

Answer 3

observe from front side back for wasting/deformity/scars etc

Question 4

How to assess gait?

Answer 4

ask child to walk, on heels and on toes

Question 5

How to assess arms?

Answer 5

hold arms outs - look at hands for wasting/deformity
asses pronation+supination and squeeze into fist
oppose fingers to thumb
squeeze MCP joints for tenderness
put hands palm to palm with elbows out, hands back to back
touch sky, look at ceiling
put hands behind neck

Question 6

How to assess Legs?

Answer 6

feel for effusion at knee, bend then straighten knee, passive hip movement

Question 7

How to assess neck and spine?

Answer 7

touch shoulder with ear - observe for lateral flexion of spine
bend forward and touch toes, observing for curve of spine

Question 8

how to complete?

Answer 8

focused examination of joints with suspected pathology

request imaging of joints with ?pathology