Neuro viva Flashcards
Ataxic gait
Unsteady, broad-based associated with either cerebellar pathology or sensory ataxia.
Parkinsonian gait
small, shuffling steps, stooped posture and reduced arm swing.
Lower limb summary
Today I examined….On general inspection, the patient seemed comfortable at rest with no equipment in the room to suggest any neurological disease. On closer inspection the patient had no scars, wasting, involuntary movements, fasciculations or tremors.
Assessment of the lower limbs revealed normal gait, tone, power, reflexes, sensation and coordination.
This is in line with a normal lower limb assessment
diabetic foot summary
Today I examined Mr Smith, a 64-year-old male. On general inspection, the patient appeared comfortable at rest and there were no objects or medical equipment around the bed of relevance.”
“The patient’s gait and stance were normal on assessment and footwear were appropriate.”
“Both lower limbs were equal in temperature with strong dorsalis pedis and posterior tibial pulses. no ulcer were noted. sensation, proprioception were intact in both lower limbs.
“In summary, these findings suggest the presence of significant diabetic foot disease including peripheral arterial insufficiency and peripheral neuropathy.”
PVD summary
Today I examined Mr Smith, a 64-year-old male. On general inspection, the patient appeared comfortable at rest and there were no objects or medical equipment around the bed of relevance.”
“The upper limbs had no stigmata of peripheral vascular disease and were symmetrically warm, with a normal capillary refill time.”
“The pulse was regular and there was no radio-radial delay. On auscultation of the carotid arteries, there was no evidence of carotid bruits and on palpation, the carotid pulse had normal volume and character.”
“Abdominal examination was unremarkable.”
“The lower limbs had no stigmata of peripheral vascular disease and were symmetrically warm, with a normal capillary refill time. Pulses were normal throughout both lower limbs and there were no gross neurological deficits noted.”
“Buerger’s test was negative.”
“In summary, these findings are consistent with a normal peripheral vascular examination.”
