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By Geeky Medics
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Get instant insights and key takeaways from this YouTube video by Geeky Medics.
Upper Limbs Neurological Examination Procedure
š The procedure began with confirming the patient's details (Yousef Smith, 1st of January 1993) and explaining the upper limbs neurological examination steps.
ā Testing included assessing tone, power (strength against resistance), and reflexes using floppy arm movements and resistance checks.
šļø Sensation was tested using a cotton wisp (light touch) and a sharp pin to assess discrimination between sharp and non-sharp stimuli, always confirming symmetry across both sides.
𤸠Coordination was tested via the finger-to-nose test and rapid alternating movements (pronation/supination).
Sensation and Proprioception Testing
⨠Light touch sensation was tested with a cotton whisp across various points, with the patient confirming sensation on both sides ().
š Sharp sensation was tested using a sharp pin while the patient kept their eyes closed, confirming awareness of sharpness symmetrically.
š Vibration sense was tested using a tuning fork in the arms, asking the patient to indicate when the vibration stopped.
š Joint position sense was assessed by moving the patient's thumb up or down while their eyes were closed, requiring correct identification of the direction ( or ).
Coordination and Final Assessment
š Coordination involved the finger-to-nose test, comparing performance between the two index fingers.
š Rapid alternating movements involved turning the hands over, alternating between a supinated and pronated position ().
ā
The examination concluded with the assessment findings: tone, power, reflexes, coordination, and sensation were all normal.
𩺠The next steps for a complete exam would involve assessing cranial nerves and performing a lower limbs neurological examination.
Key Points & Insights
ā”ļø A normal upper limbs neurological examination involves systematically testing tone, power, reflexes, sensation, and coordination.
ā”ļø Symmetry must be confirmed for all sensory assessments (light touch, sharp, vibration, and joint position sense).
ā”ļø Coordination testing should include the finger-to-nose manoeuvre and rapid alternating movements (pronation/supination).
ā”ļø The Geeky Medics clinical examination guide is recommended for summarizing key practical skills exams.
šø Video summarized with SummaryTube.com on Oct 07, 2025, 04:00 UTC
Full video URL: youtube.com/watch?v=4uAAjYzi7SY
Duration: 12:16
Get instant insights and key takeaways from this YouTube video by Geeky Medics.
Upper Limbs Neurological Examination Procedure
š The procedure began with confirming the patient's details (Yousef Smith, 1st of January 1993) and explaining the upper limbs neurological examination steps.
ā Testing included assessing tone, power (strength against resistance), and reflexes using floppy arm movements and resistance checks.
šļø Sensation was tested using a cotton wisp (light touch) and a sharp pin to assess discrimination between sharp and non-sharp stimuli, always confirming symmetry across both sides.
𤸠Coordination was tested via the finger-to-nose test and rapid alternating movements (pronation/supination).
Sensation and Proprioception Testing
⨠Light touch sensation was tested with a cotton whisp across various points, with the patient confirming sensation on both sides ().
š Sharp sensation was tested using a sharp pin while the patient kept their eyes closed, confirming awareness of sharpness symmetrically.
š Vibration sense was tested using a tuning fork in the arms, asking the patient to indicate when the vibration stopped.
š Joint position sense was assessed by moving the patient's thumb up or down while their eyes were closed, requiring correct identification of the direction ( or ).
Coordination and Final Assessment
š Coordination involved the finger-to-nose test, comparing performance between the two index fingers.
š Rapid alternating movements involved turning the hands over, alternating between a supinated and pronated position ().
ā
The examination concluded with the assessment findings: tone, power, reflexes, coordination, and sensation were all normal.
𩺠The next steps for a complete exam would involve assessing cranial nerves and performing a lower limbs neurological examination.
Key Points & Insights
ā”ļø A normal upper limbs neurological examination involves systematically testing tone, power, reflexes, sensation, and coordination.
ā”ļø Symmetry must be confirmed for all sensory assessments (light touch, sharp, vibration, and joint position sense).
ā”ļø Coordination testing should include the finger-to-nose manoeuvre and rapid alternating movements (pronation/supination).
ā”ļø The Geeky Medics clinical examination guide is recommended for summarizing key practical skills exams.
šø Video summarized with SummaryTube.com on Oct 07, 2025, 04:00 UTC
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