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General inspection

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The general examination in the neurological examination should include:

  • abnormal posture, for example, in an upper motor neurone lesion with flexion of the upper limb - arm pronated and adducted - and extension of the lower limb
  • muscle wasting - this indicates primary muscle disease, denervated muscle, or disuse atrophy - when looking for wasting compare both sides and try to work out what pattern of muscle wasting, for example proximal, distal, generalised, symmetrical
  • abnormal movements, such as athetosis or tremor
  • skin - herpes zoster, neurofibromatosis, segmental distribution of angiomata - associated with spinal astrocytoma and syringomyelia

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