Nervous System Examination

Neurological disease may produce systemic signs and systemic disease may affect the nervous system. A complete general examination must therefore accompany that of the central nervous system. In particular, note the following:

Temperature Blood pressure Neck stiffness Pulse irregularity Carotid bruit Cardiac murmurs Cyanosis/respiratory insufficiency

Evidence of weight loss Septic source, e.g. teeth, ears,

Breast lumps Lymphadenopathy Hepatic and splenic enlargement Prostatic irregularity

Skin marks, e.g. rashes cafe-au-lait spots angiomata Anterior fontanelle 1 . Head circumference J

CNS examination is described systematically from the head downwards and includes:

CNS examination is described systematically from the head downwards and includes:

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