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Neuro Upper Gait Presentations At Osce Notes

Medicine Notes > Medical Finals & OSCEs Notes

This is an extract of our Neuro Upper Gait Presentations At Osce document, which we sell as part of our Medical Finals & OSCEs Notes collection written by the top tier of Oxford University students.

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Presentations at OSCE Neuro upper limb examination: I have done an upper limb neurological examination of [name]'s, a [age] [gender]'s,
[occupation]. On inspection I noted

*

no paraphernalia of neurological disease

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paraphernalia of neurological disease, a [paraphernalia] etc.

*

paraphernalia of disease, a [blood sugar testing kit], etc.

and

*

no signs of disease in the upper limbs such as wasting or fasciculation

*

signs of disease in the upper limbs: o

[muscle fasciculation]

o

[muscle wasting]

o

[an abnormal position]

o

[scars]

o

[skin changes]

o

[resting tremor]

o

[pill rolling fingers]

o

[Dupuytren's contractures, perhaps indicating alcohol excess]

o

[winging of scapulae]

On testing the tone and power, I found

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[Decreased/increased] tone [symmetrically/in the left/right arm]

*

that was [rigid/spastic] as it was present [throughout the range of movement/on initial movement only]

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[There was cogwheeling in the wrists]

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Normal tone [symmetrically/in the left/right arm]

*

Decreased power [symmetrically/in the left/right arm]

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Normal power [symmetrically/in the left/right arm]

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