4 - Paeds - Community Paeds + Psych - Neurological Ex Flashcards Preview

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Flashcards in 4 - Paeds - Community Paeds + Psych - Neurological Ex Deck (8):
1

2 parts of paeds neuro exam?

pGALS
Normal neuro exam

2

3 questions at start of pGALS

pain in joints?
pain/trouble walking?
pain/problems dressing self?

3

after questions in pGALS?

observe from front side back for wasting/deformity/scars etc

4

How to assess gait?

ask child to walk, on heels and on toes

5

How to assess arms?

hold arms outs - look at hands for wasting/deformity
asses pronation+supination and squeeze into fist
oppose fingers to thumb
squeeze MCP joints for tenderness
put hands palm to palm with elbows out, hands back to back
touch sky, look at ceiling
put hands behind neck

6

How to assess Legs?

feel for effusion at knee, bend then straighten knee, passive hip movement

7

How to assess neck and spine?

touch shoulder with ear - observe for lateral flexion of spine
bend forward and touch toes, observing for curve of spine

8

how to complete?

focused examination of joints with suspected pathology
request imaging of joints with ?pathology

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