Upper Limb Neurological Examination | OSCE Guide | NEW | UKMLA | CPSA

Summary

In this video, medical student David conducts a neurological examination of a 30-year-old male's upper limbs. The examination includes testing for nerve function, muscle tone, strength, reflexes, sensation, and coordination. The patient, Yousef Smith, cooperates by performing various movements and responding to stimuli. The findings are consistent with a normal neurological examination, and David suggests further assessment of cranial nerves and lower limbs for completeness.

Takeaways

• 👨‍⚕️ David, a medical student, is conducting an upper limb neurological examination on Yousef Smith.
• 📅 Yousef Smith's date of birth is January 1, 1993, making him 30 years old at the time of the examination.
• 🧠 The examination includes testing of nerves, muscle tone, strength, reflexes, sensation, and coordination.
• 🙅‍♂️ Yousef is not experiencing any pain on the day of the examination.
• 🤲 Yousef is asked to perform various arm positions and movements to assess muscle strength and coordination.
• 🔍 The examination uses different stimuli to test sensation, including a cotton wisp and a sharp pin.
• 📏 A tuning fork is used to test vibration sensation in Yousef's arms.
• 🤞 Joint position sense is assessed by moving Yousef's thumb up and down while he guesses the direction.
• 🔄 Coordination is tested by having Yousef touch his nose and then the examiner's finger, and by hand maneuvers.
• 👨‍🏫 The examination findings are normal, with no signs of neurological disease, indicating a healthy upper limb neurological status.
• 📚 The video promotes 'The Geeky Medic Clinical Examination Guide' as a resource for practical exam skills.

Q & A

What is the purpose of the examination described in the script?

The purpose of the examination is to perform an upper limb neurological examination, which involves testing the nerves and muscles in the arms and observing the patient's movements.

Who is conducting the examination?

The examination is being conducted by David, who is a medical student.

What is the patient's name and date of birth as mentioned in the script?

The patient's name is Yousef Smith and his date of birth is January 1st, 1993.

What is the first step David asks the patient to do during the examination?

The first step is to ask the patient to lift their arms up with palms up, close their eyes, and hold the position.

How does David test the tone in the patient's arms?

David tests the tone by asking the patient to keep their arms floppy while he moves them around.

What is the patient asked to do when testing the strength in their arms?

The patient is asked to lift their arms up and keep them up against resistance provided by David.

How does David test the patient's sensation?

David tests sensation using a cotton wisp and a sharp pin, asking the patient to close their eyes and report when they can feel the stimulus.

What is the purpose of using a tuning fork during the examination?

The tuning fork is used to test the patient's vibration sense in their arms.

How does David test the patient's joint position sense?

David tests joint position sense by moving the patient's thumb up and down and asking them to identify the direction while their eyes are closed.

What coordination tests does David perform?

David tests coordination by asking the patient to touch their nose and then his finger, to place one hand over the other and turn it over, and to do the same with the other hand.

What is the conclusion of the examination based on the script?

The conclusion is that the patient's tone, power, reflexes, coordination, and sensation are normal, which is consistent with a normal upper limb neurological examination.

What additional examinations are suggested to complete the assessment?

To complete the assessment, an evaluation of the cranial nerves and a lower limb neurological examination are suggested.