医药基础-病史和神经系统检查-62页.pptxVIP

Taking a history and Neurological examination;Being the essential skill Necessary to learn the clinical method; history and neurological exam symptoms signs qualitative anatomic( topographic) diagnosis diagnosis other data lab test pathologic(etiologic) diagnosis ; patient’s trust and cooperation reliable history and accurate exam correct diagnosis;Taking the history;Taking the history;Structure of the history;The complaint ;The presenting history;Information of onset;Nature of the main symptom;Process of the disease;Associated symptoms;Preceding Treatment;Past history;Personal history;Family history;Neurological examination;Neurological examination;㈠higher cortical function;consciousness;cognitive function;Language skills;emotional state;㈡Cranial nerve 　　　　examination;Olfactory nerve(Ⅰ);Optic nerve(Ⅱ);Oculomotor(Ⅲ),trochlear(Ⅳ), abducens(Ⅵ) nerves;Trigeminal nerve(Ⅴ);Facial nerve(Ⅶ);Auditory nerve(Ⅷ);Glossopharyngeal(Ⅸ), vague(Ⅹ) nerve;Accessory nerve(Ⅺ);Hypoglossal nerve(Ⅻ);(三)Motor system;Muscle bulk(appearance);Muscle tone(tension);Muscle strength(power);Co-ordination (cerebellar hemispheric funtion);Involuntary movement;Posture and gait;(四)Sensory function;(四)Sensory function;(五)Reflex function;Deep tendon reflexes;Superficial cutaneous reflexes;Babinski’s sign and its equivalent signs;Frontal release signs;(六)Autonomic nerves;(七)meningeal irritation signs;Approach to coma;emergency management;history and examination;differential diagnosis;;Conditions that mimic coma;Speech dysfunction;Assistant investigations;CSF investigation;CSF investigation;CSF investigation;CSF investigation