病史采集与神经系统检查.ppt

History-taking And Examinations of Neurology Dr.Ying Peng Dept. of Neurology, the 2nd Affiliated Hospital of Sun Yat-sen University Brief Introduction Definition of Neurology： Science of investigations for neurological diseases (evolved the central, peripheral and autonomic nervous systems) and the muscular diseases. Diagnosis of neurologic diseases： Localization: Anatomy and physiology＋NS examination and signs Etiological diagnosis: History ＋signs ＋laboratory investigations Our goals in this lecture 1, Comprehend: the significance of neurological examination. 2, Acquaint: the value of history-taking and NS Exam on diagnosis of NS diseases. 3, Grasp: the key point and method of history-taking history-recording; the procedure method of neurological examination. History-taking Main complains Present history 1, onset of disease, 2, nature of the main symptom 3, course of disease 4, accompany symptoms and 5, the course of diagnosis and treatments. The Past history: History of other diseases, The personal history: Personal life and development. The Family history Vital symptoms Headache Pain Numbness Convulsion Paralysis Sphincter disorder Dizzy Sensory disorder Seizure Weakness Visual disturbance Psychiatric and intellectual disturbance We want to know: Onset Site Timing Character Frequency Severity Duration Relieving factors Precipitating factors Associated features Some special courses of disease An abrupt onset followed by gradual improvement e.g: Cerebrovascular disease Acute inflammatory disease A gradual onset of symptoms e.g: Chronic, progressing and degenerative disease, tumors, Congenital disease Sudden on