Clinical skills

Physical Exam Modules

Upper Extremities Module
Vital Signs and Chest Module
HEENT Module
Cardiac Exam Module
Abdomen Module
Lower Extremities Exam Module
Neurlogical Exam Module
Complete history and physical module

above are links to instructional modules and videos demonstrating physical exam techniques. The videos require Quicktime version 7 or higher. The video files are large




For useful medical websites http://mediconet.blogspot.com/

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LEARNING AND TEACHING AT BEDSIDE

Skill Modules

Heart Sounds & Murmurs
Liver and Ascites
Neck Veins
Pulmonary
Thyroid

Dedicated to helping develop the skills of trainees (students and residents) in advanced physical diagnosis techniques and their application to patient care by demonstrating how to conduct attending rounds that include bedside teaching.

Linda E. Pinsky, MD

Assistant Professor of Medicine
Adjunct Assistant Professor of Medical Education
UWMC Director of Resident Ambulatory Training

Joyce E. Wipf, MD
Associate Professor of Medicine
Associate Director, Medicine Residency Program
University of Washington and Seattle VA

For useful medical websites http://mediconet.blogspot.com/

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Neuro exam learning module

http://missinglink.ucsf.edu/lm/IDS_104_neuro_exam/NeuroExam.html

The learning module Components of the Neuro Exam was created by Jeremy Fields (MS2) and Wade Smith, MD, PhD

For useful medical websites http://mediconet.blogspot.com/

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Neurologic Examination, University of Toronto

http://neuroexam.med.utoronto.ca/

Excellent collection of videos and text describing all aspects of the basic neuro exam.

short audiovisual tutorials that describe cranial, motor, and sensory examination technique. The explanations progress slowly through each procedure and are excellent for students. The continuity of presenter and simulate patient induce a relaxed pedantic experience. The author & narrator is Marika Hohol MD FRCP(C), Staff-Neurologist, St. Michael's Hospital, Assistant Professor of Neurology, Faculty of Medicine, University of Toronto, and the model is her niece. The videos are accompanied by notes on right side of video screen page for easy reference. ...


For useful medical websites http://mediconet.blogspot.com/

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A Practical Guide to Clinical Medicine

A comprehensive physical examination and clinical education site for medical students and other health care professionals

Introduction	Breast Exam
History of Present Illness	Male Genital/Rectal Exam
The Rest of the History	The Upper Extremities
Vital Signs	The Lower Extremities
The Eye Exam	Musculo-Skeletal Exam
Head and Neck Exam	The Mental Status Exam
The Lung Exam	The Neurological Exam
Exam of the Heart	Putting It All Together
Exam of the Abdomen	Medical Links

source: the University of California.



For useful medical websites http://mediconet.blogspot.com/

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PEDIATRIC NEUROLOGIC EXAM

"PEDIATRIC NEUROLOGIC EXAM: A NEURODEVELOPMENTAL APPROACH"

uses over 145 video demonstrations and narrative descriptions in an online tutorial. It presents the neurological examination of the pediatric patient as couched within the context of neurodevelopmental milestones for Newborns, 3 month-olds, 6 month-olds, 12 month-olds, 18 month-olds, and 2-and-a-half year-olds. Use the Table of Contents on the left to access these tutorials.

In assessing the child’s developmental level, the examiner must know the age when key social, motor, and language skills are normally acquired. The normal neurological findings one would expect for a newborn are certainly different than a 2, 6 or 12-month-old infant.

Obtaining developmental milestones is an important reflection of the maturation of the child’s nervous system, and assessing development is an essential part of the pediatric neurological examination. Delay in obtaining developmental milestones and abnormal patterns of development are important indicators of underlying neurological disease.

This "Internet Accessible Tutorial for Medical Neuroscience in the Pediatric Neurologic Examination" is authored by the University of Utah School of Medicine (Suzanne S. Stensaas, PhD), and the University of Nebraska Medical Center (Paul D. Larsen, MD).

A companion website to the Pediatric Neurological Examination is the Adult Neurologic Exam: An Anatomical Approach, where the anatomical foundations of the neurologic exam are presented and examples of both normal and abnormal patient conditions are exhibited.

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Neurologic examination

neuroexam.com is an interactive online guide to the neurologic examination, with video demonstrations. It is a companion to 'The NeuroExam Video' and 'Neuroanatomy Through Clinical Cases', both by Hal Blumenfeld
CONTENTS

1. INTRODUCTION
• 1. Introduction
• 2. General Exam
2. MENTAL STATUS
   • 3. Mental Status Introduction
   • Level of Alertness, Attention & Cooperation
   • 4. Attention
   • Orientation
   • 5. Orientation
   • Memory
   • 6. Recent Memory
   • 7. Remote Memory
   • Language
   • 8. Spontaneous Speech
   • 9. Comprehension
   • 10. Naming
   • 11. Repetition
   • 12. Reading and Writing
   • Calculations, Right-Left Confusion, Finger Agnosia, Agraphia
   • 13. Calculations
   • 14. Right Ear Left Thumb
   • Apraxia
   • 15. Praxis
   • Neglect & Constructions
   • 16. Neglect Drawing Tests
   • 17. Copy Drawing
   • Sequencing Tasks & Frontal Release Signs
   • 18. Grasp Reflex
   • 19. Manual Alternating Sequence Task
   • 20. Written Alternating Sequence Task
   • 21. Auditory Go-No-Go
   • Logic & Abstraction
   • 22. Analogies, Logic
   • Delusions & Hallucinations
   • 23. Psychiatry
   • Mood
3. CRANIAL NERVES
   • Olfaction (CN I)
   • 24. Olfaction
   • Ophthalmoscopic Exam (CN II)
   • 25. Ophthalmoscopic Exam
   • Vision (CN II)
   • 26. Red Desaturation
   • 27. Visual Fields
   • 28. Blink to Threat
   • Pupillary Responses (CN II, III)
   • 29. Pupil Light Reflex
   • 30. Swinging Flashlight
   • 31. Accomodation
   • Extraocular Movements (CN III, IV, VI)
   • 32. Smooth Pursuit
   • 33. Saccades
   • 34. OKNs
   • 35. Oculocephalic Testing
   • Facial Sensation and Muscles of Mastication (CN V)
   • 36. Facial Sensation
   • 37. Corneal Reflex
   • 38. Masseter
   • 39. Jaw Jerk Reflex
   • Muscles of Facial Expression and Taste (CN VII)
   • 40. Facial Muscles
   • 41. Taste
   • Hearing and Vestibular Sense (CN VIII)
   • 42. Hearing
   • 43. Positional Vertigo Test
   • Palate Elevation and Gag Reflex (CN IX, X)
   • 44. Palate Elevation
   • Muscles of Articulation (CN V, VII, IX, X, XII)
   • 45. Articulation
   • Sternocleidomastoid and Trapezius Muscles (CN XI)
   • 46. CN XI Testing
   • Tongue Muscles (CN XII)
   • 47. Tongue Protrusion
4. MOTOR EXAM
   • Observation
   • Inspection
   • 48. Atrophy? Fasciculations
   • Palpation
   • Muscle tone
   • 49. Upper Extremity Tone
   • 50. Lower Extremity Tone
   • Functional testing
   • 51. Drift
   • 52. Rapid Hand Movements
   • 53. Rapid Foot Tapping
   • Strength of individual muscle groups
   • 54. Upper Extremity Strength
   • 55. Detailed Hand Test
   • 56. Lower Extremity Strength
   • 57. Foot Eversion, Inversion
5. REFLEXES
   • Deep Tendon Reflexes
   • 58. Deep Tendon Reflexes
   • Plantar Response
   • 59. Plantar Response
   • Finger Flexors
   • 60. Finger Flexors
   • Reflexes Tested in Special Situations
   • 61. Special Reflexes
6. COORDINATION AND GAIT
   • Appendicular Coordination
   • 62. Rapid Alternating Movements
   • 63. Precision Finger Tap
   • 64. Finger-Nose-Finger
   • 65. Heel-Shin
   • 66. Overshoot
   • Romberg test
   • 67. Romberg Test
   • Gait
   • 68. Ordinary Gait, Tandem Gait
   • 69. Forced Gait
7. SENSORY EXAM
   • Primary sensation — asymmetry, sensory level
   • 70. Pin Prick
   • 71. Temperature
   • 72. Vibration Sense
   • 73. Joint Position Sense
   • 74. Two-Point Discrimination
   • Cortical sensation, including extinction
   • 75. Graphesthesia
   • 76. Stereognosis
   • 77. Tactile Extinction

http://mediconet.blogspot.com/

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CNS EXAMINATION

NEUROLOGIC EXAM AN ANATOMICAL APPROACH. Clinical Dissection of the Nervous System: An Internet Accessible Tutorial for Medical Neuroscience from the University of Utah School of Medicine (Suzanne S. Stensaas, PhD), University of Nebraska Medical Center (Paul D. Larsen, MD), and the Fundación Stern, Buenos Aires, Argentina (Alejandro Stern). Interweaves the neurological examination with neuroanatomy. This online tutorial lays the foundation for clinical problem solving by first, establishing the anatomical concept; second, demonstrating the problem solving method; then third, allowing active participation in applying the method. The tutorial combines the use of anatomical diagrams, live patient exam, video patient cases and self-evaluation tools to accomplish its educational goals. It also repurposes clinical video patient cases on streaming video for use in the tutorials as well as being available for use on demand. Anatomy and pathology of the nervous system is understood


http://mediconet.blogspot.com/

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The Clinical Skills Online

The Clinical Skills Online (CSO) is a project aimed at providing online videos demonstrating core clinical skills common to a wide range of medical and health-based courses. This project has been funded by the Higher Education Academy Subject Centre for Medicine, Dentistry and Veterinary Medicine.

http://www.youtube.com/sgulcso

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