Neurologia - Dr. Pedro Schestatsky

Universidade Federal do Rio Grande do Sul Faculdade de Medicina Departamento de Medicina Interna Disciplina: Introdução à Clínica Médica – MED 01001 Regente: Prof .Paulo Picon Coordenador do Módulo Semio-­‐Neuro: Prof. Luiz Nelson Fernandes Módulo 1: Especialidades Neurologia 2014 Preceptores: Professores: Laura Jardim Márcia Chaves Matheus Roriz Pedro Schestatsky Luiz Nelson Fernandes (Coord) Contratados: Alessandro Finkelsztejn Arthur F, Schumacher Marco A. Caneda Renata Londero ObjeBvos gerais Módulo 1: Neurologia Habilitar o aluno a realizar: 1. Uma eficiente entrevista com ênfase nas principais síndromes neurológicas; 2. Proceder um exame neurológico completo; 3. Relatar estes achados de forma clara e concisa, introduzindo-­‐o na iden_ficação dos principais diagnós_cos sindrômicos em Neurologia do adulto. Tipos de diagnósBco em Neurologia: SINDRÔMICO TOPOGRÁFICO ETIOLÓGICO Exame Neurológico: -­‐ Estado Mental -­‐ Sistema Sensi_vo -­‐ Sistema Motor -­‐ Nervos Cranianos -­‐ Reflexos ABvidades previstas: Aulas teóricas: 2as-­‐feiras 15.09 -­‐ Apresentação do Módulo/Ex. do Sistema Sensi_vo [P] 22.09 -­‐ Ex. do Sistema Motor [A] 29.09 – Ex. dos Nervos Cranianos [P] 06.10 -­‐ Ex. Estado Mental [A] Exame do paciente à beira do leito: 4as e 6as-­‐feiras Prova teórica 10.10 -­‐ 20 questões (4 de cada sistema) Critérios de avaliação: 1. Presença + Par_cipação nas a_vidades (aulas teóricas + beira de leito) 2. Prova: 20 questões teóricas 3. Entrega do Relatório Neurológico 1. 
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Anamnese Exame qsico Diagnós_co diferencial Referências bibliográficas Bibliografia recomendada: Bates -­‐ PropedêuBca Médica Lynn S. Bickley A práBca da neurociência John C. M. Brust Adams and Victor’s Principles of Neurology Maurice Victor, Allan H. Ropper Leitura complementar: DeJong -­‐ O Exame neurológico William W. Campbell DiagnósBco Topográfico em Neurologia Baher M, Frotscher M www.sobreneurologia.com.br
A reflex hammer is a medical instrument used by physicians to test deep tendon reflexes. Tes_ng for reflexes is an important part of neurological physical examina_on in order to detect abnormali_es in the CNS or PNS. The Taylor or tomahawk reflex hammer was designed by John Madison Taylor in 1888 [3] and is the most well known reflex hammer in the USA (which is lighter than european hammers) The Queen Square reflex hammer was designed for use at the Na#onal Hospital for Nervous Diseases (now the Na_onal Hospital for Neurology and Neurosurgery) in Queen Square, London. It is the reflex hammer of choice of the UK neurologist The Babinski reflex hammer was designed by Joseph Babiński in 1912[2] and is similar to the Queen Square hammer, except that it has a metallic handle that is ozen detachable.[5] Babinski's hammer was popularized in clinical use in America by the neurologist Abraham Rabiner, who was given the instrument as a peace offering by Babinski azer the two brawled at a black _e affair in Vienna (1920) The Trömner reflex hammer was designed by Ernst Trömner. This model is shaped like a two-­‐headed mallet. The larger mallet is used to elicit tendon stretch reflexes, and the smaller mallet is used to elicit percussion myotonia. Other reflex hammer types include the Buck, Berliner and Stookey reflex hammers.[2]