Upper Limb Neurological Examination

In this episode, released for Advanced Clinical Practice week, ACP Lucy Harris takes us through Upper Limb Neurological Examination. As ever, there are some mnemonics:

The order of examination:

In The Philippines Children Still Run Free

Inspection

Tone

Power

Co-Ordination

Sensation

Reflexes

Function

For inspection remember the mnemonic ‘SWIFT’:

Scars

Wasting

Involuntary Movements

Fasciculations

Tremor

Take Aurally · Upper Neurological Examination

The blog entry from Geeky Medics on Upper Limb Neurological Examination can be found here

Lower Limb Neurological Examination

In this episode, released for Advanced Clinical Practice week, ACP Lucy Harris takes us through Lower Limb Neurological Examination. As ever, there are some mnemonics:

The order of examination:

In The Philippines Children Still Run Free

Inspection

Tone

Power

Co-Ordination

Sensation

Reflexes

Function

For inspection remember the mnemonic ‘SWIFT’:

Scars

Wasting

Involuntary Movements

Fasciculations

Tremor

Take Aurally · Lower Limb Neurological Examination

The blog from Geeky Medics on Lower Limb Neurological Examination can be found here

Here is the video from Geeky Medics on Lower Limb Neurological Examination:

Cranial Nerve Examination

Take Aurally · Cranial Nerve Examination

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In this episode ACP Lucy Harris takes us through Cranial Nerve examination including some top tips along the way!

There are some ruder mnemonics for remembering the names of the Cranial Nerves and what they do but here are the ‘U’ rated ones Lucy mentioned:

I Olfactory

On

II Optic

Occasion

III Occulomotor

Our

IV Trochear

Trusty

V Trigeminal

Truck

VI Abducens

Acts

VII Facial

Funny

VIII Vestibulocochlear

Very

IX Glossopharyngeal

Good

X Vagus

Vehicle

XI Accessory

Any

XII Hypoglossal

How

CNI Some (Sensory)

CN II Say (Sensory)

CN III Marry (Motor)

CN IV Money (Motor)

CN V But (Both)

CN VI My (Motor)

CN VII Brother (Both)

CN VIII Says (Sensory)

CN IX Big (Both)

CN X Brains (Both)

CN XI Matter (Motor)

CN XII More (Motor)

The brilliant Geeky Medics blog on Cranial Nerve Examination can be found here

This is their video on Cranial Nerve Examination:

Neurology History Taking

Our Early Clinical Experience series continues with ACP Lucy Harris this time taking us through how to take a neurology history.

One again we look at common presenting complaints, cardinal symptoms and red flags.

We reference several previous podcasts in this episode:

Seizures

Adult Head Injury

Paediatric Head Injury

Transient Loss of Consciousness

Take Aurally · Neurology History Taking

Gastrointestinal Examination

In this episode Lucy Harris joins the pod again to go through abdominal examination including:

• ‘JACKLED’

• signs associated with abdominal disease

• a few tips along the way including, “don’t tease; analgese”

Gastrointestinal History Taking

In this episode ACP Lucy Harris once again joins the pod this time to take us through Gastrointestinal History Taking including:

• tips and key questions

• red flags

• how the patient with abdominal pain is like a whale or shark…

Don’t forget to check out our Acute Abdomen podcasts and our Ectopic pregnancy podcast

Remember Take Aurally is now on Instagram and Spotify!

Ear, Nose and Throat Examination

Happy New Year one and all!

We start 2019 with the latest episode in our Early Clinical Experience series. ACP Lucy Harris takes us through examining the Ear, Nose and Throat of a patient. Perfect for any practitioner or student at the beginning of their clinical attachments

We discuss:
- techniques and systems for examining
- important things to look out for
- further examinations you'd want to do such as Weber's and Rhinne's

Remember to check out our Ear, Nose and Throat section as well!

Take Aurally is now on Instagram and Spotify!

Cardio-Respiratory Examination

In this episode Lucy Harris talks us through Cardio-Respiratory examination step by step including:

- how to assess jugular venous pulse (JVP)

- how to elicit heart murmurs

- why you can poke Jane but you can’t poke Osler

Cardiac History Taking

ACP and educator Lucy Harris takes us through Cardiac History taking in this episode once again focusing on:

• cardinal symptoms

• tips on eliciting common symptoms

• red flags to look out for

The Geeky Medic page on Cardiac History taking that Lucy mentioned can be found here

Respiratory History Taking

In this episode Advanced Clinical Practitioner and teaching fellow Lucy Harris builds on our previous history taking episode and adds in:

• the cardinal symptoms of respiratory disease

• how to encourage the more reticent patient

• how to focus a talkative patient

History Taking

In this first episode in our Early Clinical Experience series ACP Lucy Harris introduces history taking including:

• Owning the information

• The format of the history

• The ‘SOCRATES’ mnemonic

• Starting to think about cardinal symptoms