The office neurologic examination
A patient with a suspected neurologic problem (a dysfunction or disorder related to the nervous system) is a challenge to the chiropractic doctor. Evaluation, performed in the office setting, should be approached with a well thought-out, organized plan. Nine components of such an evaluation are outlined. An evaluation of the patient's mental status is carried out during the initial interview and consultation. This includes an evaluation of the level of consciousness and an evaluation for dementia which includes orientation, memory, intellect, judgment and affect. In addition, the patient's language function is evaluated. While the patient is standing, his walking ability and ability to stand upright are evaluated. With the patient sitting, the skull and spine, spinal cord, cranial nerve, motor, sensory reflexes and coordination are evaluated. The last phase of the examination is performed with the patient lying down. At this time the spine, motor, sensory, reflexes and coordination are again evaluated. Following examination all data obtained are collated and used to locate the point in the neurologic system where the dysfunction exists. Any symptoms or signs not accounted for by the proposed localization of dysfunction should prompt a reevaluation of the information or conclusions. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Journal of Chiropractic
After fires, Brazil's Yanomamis face malaria
Malaria cases among the primitive Yanomami Indians have increased after the fires that affected the rainforests of Brazil. An estimated 800 Indians are affected with the falciparum malaria after two months of continued fire in the area. The efforts of health workers were negatively affected by the thick smoke and the lack of rain. Catholic missionaries who discovered the Yanomamis in the 1920s are largely concerned because of the decreasing number of the tribe's population.
Publication Name: World Disease Weekly Plus
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