Modulo Neuro-Site_2015 - 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: Profa. CrisBane Bauermann Leitão Coordenador do Módulo Semio-­‐Neuro: Prof. Luiz Nelson Fernandes Módulo 1: Especialidades Neurologia 2015 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 idenBficação dos principais diagnósBcos sindrômicos em Neurologia do adulto. Tipos de diagnósBco em Neurologia: SINDRÔMICO TOPOGRÁFICO ETIOLÓGICO Exame Neurológico: -­‐ Estado Mental -­‐ Sistema SensiBvo -­‐ Sistema Motor -­‐ Nervos Cranianos -­‐ Reflexos ABvidades previstas: Aulas teóricas: 2as-­‐feiras 15.06 -­‐ Apresentação do Módulo/Intro/Sensibilidade [P] 19.06 – Estado Mental [M] 22.06 – Nervos Cranianos/Reflexos [P] 26.06 – Sistema Motor [M] Exame do paciente à beira do leito: 4as e 6as-­‐feiras Entrega do relatório 29.06 Prova teórica 03.07 -­‐ 20 questões (4 de cada sistema) Critérios de avaliação: 1. Presença + ParBcipação nas aBvidades (aulas teóricas + beira de leito) 2. Prova: 20 questões teóricas 3. Entrega do Relatório Neurológico 1. 
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Anamnese Exame rsico DiagnósBco 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. TesBng for reflexes is an important part of neurological physical examinaBon in order to detect abnormaliBes 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 NaBonal 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 Be 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]